Stacey Ann Dimitriou-Ciaccio, RPA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

009689 Issued in NY

Practice address

101 Hospital Road
Medical Center
Patchogue, NY 11772

Phone

(631) 687-2953

Fax

(610) 617-6280

NPI assigned

Jun 14, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: staceydimitriou-ciaccio@nslijmedgr.allscriptsdirect.net

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

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD
• Brookhaven Memorial Hospital Medical Center, Inc.

  dba Brookhaven Memorial Hospital Palliative Care Dept.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Patchogue, NY
  • NPI 1417232760
  Medicare reassignment
• Brookhaven Memorial Hospital Medical Center, Inc.

  dba Long Island Community Hospital

  • Physician Assistant
  • Patchogue, NY
  • NPI 1487843090
  NPD
• Long Island Community Hospital at NYU Langone Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shirley, NY
  • NPI 1902029796
  NPD
• Emergency Medicine Physicians of Suffolk County, PLLC

  • Emergency Medicine Physician
  • East Patchogue, NY
  • NPI 1669783924
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396788766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13700-1378",
            "address_2": "BROOKHAVEN MEMORIAL HOSPITAL ER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191911378",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL ROAD",
            "address_2": "MEDICAL CENTER",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-687-2953",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRIOU-CIACCIO",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "credential": "RPA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Ann Diaz
• Gary Dicanio, DO
• Troy E Dickinson, DO
• Marie Christine Didonato, PMHNP
• Natalie M Digioia, MD
• Discoveries Therapy LCSW, P.C.
• Amy C. Dittler, PMHNP-BC
• Nicole Marie Divirgilio, PT
• DME Medical Supplies Inc.
• Daphnie Doirin, SLP-CCC

• Physician Assistant in Patchogue, NY
• Providers in Patchogue, 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 13, 2026; 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.

Verify at the official NPI Registry.