Individual provider Active NPI

Alfio Carroccio, MD

  • Surgery Physician
  • New York, NY
National Provider Identifier
1346216124
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
207247 Issued in NY
Practice address
130 E 77TH St FL 13
New York, NY 10075-1851
Phone
(212) 434-3420
Fax
(212) 434-3410
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 207247 NY Primary

Addresses

Primary practice location

130 E 77TH St FL 13
New York, NY 10075-1851

Mailing address

130 E 77TH St FL 13
New York, NY 10075-1851
Phone (212) 434-3420

Other identifiers 1

IdentifierTypeStateIssuer
02207303MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031104000400 NY Practitioner - Vascular Surgery 6709798119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Icahn School of Medicine at Mount Sinai, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical Group at Huntington PC 46 clinicians
North Shore-Lij Medical PC 6,374 clinicians

Practice addresses (Care Compare)

2001 Marcus Ave
Suite S50
New Hyde Park, NY 11042-1039
Phone (516) 328-9800

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)16
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207247NYMDSurgery Physician

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
North Shore-Lij Medical Group at Huntington PC Surgery CurrentSince Oct 1, 2025 Accepting new patients
Doshi Diagnostic Imaging Services PC Past Accepting new patients
Park Lenox Surgical, PC Past Accepting new patients
Broadway Cardiopulmonary, P.C. Past Accepting new patients
North General Physician Services PLLC Surgery PastSince Jul 1, 2006 Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Locations

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

2001 Marcus Ave
Ste S50
New Hyde Park, NY 11042
Phone (516) 355-2277

130 E 77th St
Fl 3
New York, NY 10075
Phone (212) 434-3691

130 E 77th St
Fl 13
New York, NY 10075
Phone (212) 434-3285

300 Community Dr
Plandome, NY 11030

385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: acarroccio69219@northwell.direct-ci.com

Organizations & group practices 7

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

Hospital & facility affiliations 1

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1346216124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-434-3420",
            "fax_number": "212-434-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-434-3420",
            "fax_number": "212-434-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROCCIO",
        "first_name": "ALFIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "207247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02207303",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.