Anne Hardick Dacko, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

220931 Issued in NY

Practice address

20408 Rockaway Point Blvd
Breezy Point, NY 11697

Phone

(646) 421-6064

NPI assigned

Nov 18, 2005

Last updated

Jan 7, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

State University of New York at Stony Brook, School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Laca Dermatology IncGroup PAC ID 7012270903, 3 clinicians

Kathleen Vine MD PCGroup PAC ID 8921220310, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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: anne.hardickdacko.p1@direct.lakeside.nextgenshare.com
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Kathleen Vine MD PC

  • Dermatology Physician
  • New York, NY
  • NPI 1942612866
  Medicare reassignment Care Compare group NPD
• Laca Dermatology, Inc

  • MOHS-Micrographic Surgery Physician
  • Sherman Oaks, CA
  • NPI 1811497928
  Medicare reassignment Care Compare group NPD
• Anne Hardick Dacko, M.D., PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1376742783
  NPD Authorized official
• BB Medical and Dermatology Inc

  dba BB medical and dermatology

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1790210516
  NPD (past)
• Beth Israel Medical Center

  dba Bimc Dermatology Consultants

  • Dermatology Physician
  • New York, NY
  • NPI 1386609535
  NPD (past)
• Beth Israel Medical Center

  dba Beth Israel Hospital Clinic Lab

  • Clinical Medical Laboratory
  • Suite 12S34, NY
  • NPI 1699798934
  NPD (past)
• Dermatology Services of Kingston P.C.

  • Procedural Dermatology Physician
  • Kingston, NY
  • NPI 1699713040
  NPD (past)
• Forest Hills Dermatology Group PLLC

  • Dermatology Physician
  • Kew Gardens, NY
  • NPI 1225309586
  NPD (past)
• Icahn School of Medicine at Mount Sinai

  dba Dermatology Department of Mount Sinai

  • Dermatology Physician
  • New York, NY
  • NPI 1922365915
  NPD (past)
• John F. Romano M.D. PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1548404221
  NPD (past)
• St Lukes Roosevelt Community Care

  • Internal Medicine Physician
  • New York, NY
  • NPI 1740469246

  Dermatology

  NPD (past)
• St Lukes-Roosevelt Hospital Center

  dba Dermatology Associates of SLR

  • Dermatology Physician
  • New York, NY
  • NPI 1831154087
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1487636858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 ROCKAWAY POINT BLVD",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971115",
            "telephone_number": "646-421-6064",
            "fax_number": "646-843-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20408 ROCKAWAY POINT BLVD",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "11697",
            "telephone_number": "646-421-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 E 12th St Ste 304",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034513",
            "country_code": "US",
            "telephone_number": "646-421-6064",
            "fax_number": "646-843-4701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "928 Broadway Ste 301",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100108156",
            "country_code": "US",
            "telephone_number": "646-421-6064",
            "fax_number": "646-843-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDICK DACKO",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "33D2064399",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "220931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Carpenter
• Diane Carroll, MS, OTR/L
• Jaclyn C Devlin, MS, CCC-SLP
• Brianne Kathleen Fitzgerald, M.S., CCC-SLP
• Maryellen Gregory Hammill
• Megan Elizabeth Holihan, MS
• Kaminer Dentistry PLLC (Breezy Point Smiles)
• Caroline Ann Kane, OTR/L
• Jonathan Elliott Lewis, DDS
• Life Quality P.T P.C

• Dermatology Physician in Breezy Point, NY
• Providers in Breezy Point, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.