Individual provider Active NPI

Linda Dicioccio, N.P.

  • Nurse Practitioner
  • Sleepy Hollow, NY
National Provider Identifier
1609082916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
302764 Issued in NY
Practice address
701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone
(914) 366-3346
Fax
(914) 366-1529
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 302764 NY Primary

Addresses

Primary practice location

701 N Broadway
Sleepy Hollow, NY 10591-1020

Mailing address

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-3346

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091228000305 NY Practitioner - Nurse Practitioner 6507906450 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patriot Medical Wound Health PCGroup PAC ID 4385090794, 7 clinicians
Patriot MedicalGroup PAC ID 3870927197, 15 clinicians
Patriot Medical Nyc PCGroup PAC ID 2567908924, 7 clinicians

Practice addresses (Care Compare)

121 Dunning Rd
Middletown, NY 10940-2243
Phone (845) 362-8400

387 Park Ave S
FL 5
New York, NY 10016-8810
Phone (800) 750-8616

4499 Manhattan College Pkwy
Bronx, NY 10471-3919
Phone (914) 236-4121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Medical Nyc PC CurrentSince Mar 8, 2025 Accepting new patients
Patriot Medical CurrentSince Mar 8, 2025 Accepting new patients
Patriot Medical Wound Health PC CurrentSince Mar 8, 2025 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Sep 1, 2021 Accepting new patients

Locations

96 Linwood Plz
Fort Lee, NJ 07024
Phone (201) 681-5066

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

4499 Manhattan College Pkwy
Bronx, NY 10471
Phone (718) 548-5100

5014 16th Ave
Ste 13
Brooklyn, NY 11204
Phone 9143594420103

121 Dunning Rd
Middletown, NY 10940
Phone (845) 343-0601

387 Park Ave S
Fl 5
New York, NY 10016
Phone (347) 916-4944

787 King St
Rye Brook, NY 10573
Phone (914) 600-7149

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609082916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-366-3346",
            "fax_number": "914-366-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-366-3346",
            "fax_number": "914-366-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICIOCCIO",
        "first_name": "LINDA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "302764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.