Steven Paul Paniccioli, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

1076 Issued in NY

Practice address

1991 Marcus Ave Ste 108
New Hyde Park, NY 11042-2058

Phone

(516) 442-2250

Fax

(516) 442-2251

NPI assigned

Feb 2, 2010

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1447582358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE STE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422058",
            "telephone_number": "516-442-2250",
            "fax_number": "516-442-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE STE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422058",
            "telephone_number": "516-442-2250",
            "fax_number": "516-442-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICCIOLI",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NY",
            "license": "1076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Palumbo, PA
• Arkadiy Palvanov, M.D.
• Jinrong Pan
• Jacqueline Pandolfo, FNP
• Jessica Mancini Pane, M, ED., BCBA, LBA
• Lejy Panicker, PHARM.D
• Sini Susen Panicker, RPH
• Dorjan Pantic, M.D.
• Carmen A Pantoja
• Stephanie Papadimitrakis

• Electroneurodiagnostic Specialist/Technologist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Electroneurodiagnostic Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.