Gina Marie Auricchio, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

311388 Issued in NY

Practice address

12105 Rockaway Beach Blvd
Far Rockaway, NY 11694-1821

Phone

(718) 412-9980

NPI assigned

Mar 30, 2018

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

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1689170623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 ROCKAWAY BEACH BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116941821",
            "telephone_number": "718-412-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AURICCHIO",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "311388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Albert Asher, PSYD
• Abigail R Assenza, PA-C
• Sheilise Atkinson
• Marie Ange Audain, RPA-C
• Suzanna Aulova, PHARM D
• Robyn Avigdor, NP
• Alyssa Axelrod, MASTERS ARTS THERAPY
• Tugba Ay
• Ivette Ayala
• Victoria Ayala, MD

• Pediatrics Physician in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.