Robert Paul Cipolla

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

1161539 Issued in NY

Practice address

48 Cordelia Ave
Staten Island, NY 10309-3434

Phone

(917) 494-0048

NPI assigned

Feb 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patricia C McCormack MD PCGroup PAC ID 7810150109, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Patricia C McCormack MD PC

  • Dermatology Physician
  • Point Pleasant Beach, NJ
  • NPI 1700184884

  NY

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1710443015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CORDELIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093434",
            "telephone_number": "917-494-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CORDELIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093434",
            "telephone_number": "917-494-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLA",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "1161539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY CARE",
            "identifier": "000000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Leticia Cintron, M.S.
• Josephine Desimone Cioffi
• Toni Ann Ciollo, RN
• Monika Cios
• Ashley Ciotola
• Gillian Ariel-Marie Cipriano, FNP
• Joseph Cipriano
• Rachele Rita Cipriano
• Edina Cira
• Maria Cirigliano, FNP

• Procedural Dermatology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.