Individual provider Active NPI

John A Carucci, MD

  • MOHS-Micrographic Surgery Physician
  • Fishkill, NY
National Provider Identifier
1265520530
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
202425 Issued in NY
Practice address
969 Main St Ste D
Fishkill, NY 12524-1791
Phone
(845) 896-7730
Fax
(845) 896-7758
NPI assigned
Oct 11, 2006
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 202425 NY Primary

Addresses

Primary practice location

969 Main St Ste D
Fishkill, NY 12524-1791

Mailing address

969 Main St Ste D
Fishkill, NY 12524-1791
Phone (845) 896-7730

Other practice location 1

55 Quaker Ave Ste 202
Cornwall, NY 12518-2026
Phone (845) 458-8188

Other practice location 2

29 Fox St Fl 4
Poughkeepsie, NY 12601-4732
Phone (845) 473-2350

Other practice location 3

336 Route 202 Ste 2
Somers, NY 10589-3221
Phone (914) 617-8950

Other practice location 4

40 Hurley Ave Ste 10
Kingston, NY 12401-3738
Phone (845) 338-3200

Other practice location 5

155 White Plains Road, Suite 109 East Wing
Tarrytown, NY 10591
Phone (914) 829-8200

Other practice location 6

98 Green St Ste 4
Hudson, NY 12534-2353
Phone (518) 412-3300

Other practice location 7

408 Market St
Nanuet, NY 10954-2744
Phone (845) 415-5575

Other identifiers 1

IdentifierTypeStateIssuer
02134509MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429001607 NY Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9931196912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Hudson Dermatology, PCGroup PAC ID 8022021732, 40 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

40 Hurley Ave
Suite 3
Kingston, NY 12401-3738
Phone (845) 338-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision162
Removal of skin lesions139
Removal of skin cancer764
Removal of nail tissue1-10
Skin biopsy128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202425NYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 1, 2012 Accepting new patients
New York University CurrentSince May 1, 2012 Accepting new patients
Hudson Dermatology, PC CurrentSince Jun 1, 2006 Accepting new patients
Weill Medical College of Cornell University Past Accepting new patients
Weill Medical College of Cornell University Mohs-Micrographic Surgery Past Accepting new patients

Locations

55 Quaker Ave
Ste 202
Cornwall, NY 12518
Phone (845) 458-8188

969 Main St
Ste D
Fishkill, NY 12524
Phone (845) 896-7730

98 Green St
Hudson, NY 12534
Phone (518) 421-3300

98 Green St
Ste 4
Hudson, NY 12534
Phone (518) 412-3300

40 Hurley Ave
Ste 10
Kingston, NY 12401
Phone (845) 338-3200

40 Hurley Ave
Ste 3
Kingston, NY 12401
Phone (845) 338-3200

408 Market St
Nanuet, NY 10954
Phone (845) 415-5575

240 E 38th St
Fl 12
New York, NY 10016
Phone (212) 263-5015

530 1st Ave
Ste 7H
New York, NY 10016
Phone (212) 263-7019

29 Fox St
Fl 4
Poughkeepsie, NY 12601
Phone (845) 473-2350

336 Route 202
Ste 2
Somers, NY 10589
Phone (914) 617-8950

155 White Plains Rd
Ste 109
Tarrytown, NY 10591
Phone (914) 366-6139

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: jcarucci39320@nyumc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1265520530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 MAIN ST STE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241791",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 MAIN ST STE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241791",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Quaker Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cornwall",
            "state": "NY",
            "postal_code": "125182026",
            "country_code": "US",
            "telephone_number": "845-458-8188",
            "fax_number": "845-458-8122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Fox St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014732",
            "country_code": "US",
            "telephone_number": "845-473-2350",
            "fax_number": "845-473-4305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Route 202 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Somers",
            "state": "NY",
            "postal_code": "105893221",
            "country_code": "US",
            "telephone_number": "914-617-8950",
            "fax_number": "914-617-8960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Hurley Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124013738",
            "country_code": "US",
            "telephone_number": "845-338-3200",
            "fax_number": "845-338-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 White Plains Road, Suite 109 East Wing",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "10591",
            "country_code": "US",
            "telephone_number": "914-829-8200",
            "fax_number": "914-829-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Green St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125342353",
            "country_code": "US",
            "telephone_number": "518-412-3300",
            "fax_number": "518-412-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Market St",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542744",
            "country_code": "US",
            "telephone_number": "845-415-5575",
            "fax_number": "845-896-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUCCI",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "202425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02134509",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.