Organization Active NPI

Ronald R Brancaccio MD & Peter Saitta DO PC

Doing business as The Skin Institute of New York

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1386719425
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
122348 Issued in NY
Legal business name
RONALD R BRANCACCIO MD & PETER SAITTA DO PC
Doing business as
The Skin Institute of New York
Practice address
7901 4TH Avenue
Apt A20
Brooklyn, NY 11209-3957
Phone
(718) 491-5800
Fax
(718) 748-2151
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Ronald R Brancaccio, MDNPI 1174578769
Title
Owner
Phone
(718) 491-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 122348 NY Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X 210799 NY
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X 210799 NY

Addresses

Primary practice location

7901 4TH Avenue
Apt A20
Brooklyn, NY 11209-3957

Mailing address

7901 4TH Avenue
Apt A20
Brooklyn, NY 11209-3957
Phone (718) 491-5800

Other names 1

  • The Skin Institute of New York Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080119000024 NY Part B Supplier - Clinic/Group Practice 0648351338 Receives reassigned benefits from 34 practitioners
Practice locations: Southold, NY; New York, NY; Greenport, NY; Brooklyn, NY; Forest Hills, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1073810Ronald R Brancaccio, MD & Peter Saitta, DO PC7901 Fourth Avenue, Brooklyn, NY 11209ComplianceJan 23, 2026

National Provider Directory

National Provider Directory

Locations

7901 4th Ave
Ste A20
Brooklyn, NY 11209
Phone (718) 491-6900

438 Graham Ave
Brooklyn, NY 11211
Phone (718) 349-5912

1305 86th St
Brooklyn, NY 11228
Phone (718) 238-0500

76 7th Ave
Brooklyn, NY 11217
Phone (718) 238-0500

83A Grand Ave
Massapequa, NY 11758
Phone (516) 798-4348

56850 Route 25
Southold, NY 11971
Phone (631) 765-1191

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1386719425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH AVENUE",
            "address_2": "APT A20",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093957",
            "telephone_number": "718-491-5800",
            "fax_number": "718-748-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH AVENUE",
            "address_2": "APT A20",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093957",
            "telephone_number": "718-491-5800",
            "fax_number": "718-748-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD R BRANCACCIO MD & PETER SAITTA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "BRANCACCIO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-491-5800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "122348",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "210799",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "210799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Skin Institute of New York",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Skin Institute of New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.