Joseph R Accetta Jr., D.O
Individual provider Active NPI Pediatrics Physician · Franklin Square, NY
NPI 1730278763 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1730278763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 200571 (NY)
- Practice address
- 100 Courthouse Road
Franklin Square, NY 11010 - Phone
- (516) 488-8830
- Fax
- (516) 488-8832
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220112001390 | NY | Practitioner - Pediatric Medicine | 5193117760 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200571 | NY | MD | Pediatrics Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| Long Island Pediatrics of Garden City | Pediatrics | Past | Accepting new patients |
Locations
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jaccetta307640@nyumc.direct-ci.com
- josephaccetta@nslijmedgr.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200571 | NY | Yes |
Addresses
Primary practice location
100 Courthouse Road
Franklin Square, NY 11010
Mailing address
100 Courthouse Road
Franklin Square, NY 11010
Phone (516) 488-8830
Other providers in Franklin Square, NY
- 905 Hempstead Pharmacy Inc.
- Shana Abraham
- Jasmita Adhikari
- Adult and Pediatric Dermatology PC
- Advantage Vision Inc
- Aftab Chaudhri
- Emily Agate
All providers in Franklin Square, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.