Individual provider Active NPI

Vincent Arthur Piccone II, M.D.

  • Specialist
  • Staten Island, NY
National Provider Identifier
1275595696
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
82205-1 Issued in NY
Practice address
245 N Gannon Ave
Staten Island, NY 10314-4374
Phone
(718) 494-7272
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 82205-1 NY Primary

Addresses

Primary practice location

245 N Gannon Ave
Staten Island, NY 10314-4374

Mailing address

245 N Gannon Ave
Staten Island, NY 10314-4374
Phone (718) 494-7272

Other identifiers 1

IdentifierTypeStateIssuer
001202326MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82205-1NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1275595696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N GANNON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144374",
            "telephone_number": "718-494-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N GANNON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144374",
            "telephone_number": "718-494-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCONE",
        "first_name": "VINCENT",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "82205-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001202326",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.