Active NPI
Alfio Carroccio, MD
- Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 207247
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02207303 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCNorth Shore-Lij Medical PC
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207247 | NY | MD | Surgery Physician |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical Group at Huntington PC | Surgery | Current | 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 | Past | 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
- 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.
-
- Vascular Surgery Physician
- New Hyde Park, NY
- NPI 1174147979
NY, Surgery
-
- Cardiovascular Disease Physician
- Long Island City, NY
- NPI 1871589200
-
- Diagnostic Radiology Physician
- Hicksville, NY
- NPI 1720031339
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
- Internal Medicine Physician
- New York, NY
- NPI 1851315337
Surgery
-
- Vascular Surgery Physician
- New York, NY
- NPI 1992861652
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.