Robert F Carlucci, MD

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

008196 Issued in NY

Practice address

475 Seautz Ave
Staten Island, NY 10305-3498

Phone

(718) 226-1608

NPI assigned

Mar 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386603405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 A KATAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10308",
            "telephone_number": "718-967-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAUTZ AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053498",
            "telephone_number": "718-226-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLUCCI",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Carlo
• Paulette Carlo
• Maureen Ann Barlaan Carlos
• Jeanine Carlson, M.S.ED.
• Rachel Marie Carlson, LMT
• Sara Carlucci, MS CCC-SLP
• Carmel Richmond Nursing Home, Inc. (Carmel Richmond Health Care and Rehabilitation Center)
• Antonii Carmon
• Calli Alexandra Carnavas
• Lauren Carneiro, PA

• Physician Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.