Individual provider Active NPI

Robert M Bacigalupi, M.D.

  • Procedural Dermatology Physician
  • Garden City, NY
National Provider Identifier
1740505668
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
274859 Issued in NY
Practice address
54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone
(516) 488-1313
NPI assigned
Apr 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 274859 NY
MOHS-Micrographic Surgery Physician 207ND0101X 274859 NY
Procedural Dermatology Physician 207NS0135X 274859 NY Primary

Addresses

Primary practice location

54 New Hyde Park Rd
Garden City, NY 11530-3909

Mailing address

860 10TH Ave
2FN
New York, NY 10019-2906

Other practice location 1

1253 Montauk Hwy
West Islip, NY 11795-4916
Phone (631) 665-3376

Other practice location 2

100 Village Sq Ste 170
Glen Cove, NY 11542-2667
Phone (516) 676-3554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20151015001191 NY Practitioner - DermatologyPractitioner - General PracticePractitioner - General Surgery 4082923982 Reassigns benefits to 2 organizations
I20200305002279 FL Practitioner - Dermatology 4082923982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph Onorato MD PCGroup PAC ID 6800801655, shared by 2 NPIs, 14 clinicians

Practice addresses (Care Compare)

13800 Tamiami TRL N
Naples, FL 34110-6201
Phone (239) 500-7546

54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone (516) 488-1313

Merit-based Incentive Payment System (MIPS)

Final score
93.82 of 100Reported as group
Quality
87.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision170
Removal of skin lesions223
Removal of skin cancer924
Removal or shaving of skin growth1-10
Skin biopsy29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
274859NYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Berkowitz MD PC CurrentSince Sep 1, 2015 Accepting new patients
Joseph Onorato M.D., P.C. Dermatology CurrentSince May 30, 2017 Accepting new patients
Joseph Onorato M.D., P.C. Dermatology CurrentSince May 30, 2017 Accepting new patients
Claire Wolinsky MD PC PastSince Sep 1, 2015 Accepting new patients
Health Quest Physical Therapy, P.C. PastSince Dec 15, 2019 Accepting new patients
Sadick Aesthetic Surgery and Dermatology Dermatology PastSince Apr 4, 2018 Accepting new patients

Locations

13800 Tamiami Trl N
Naples, FL 34110
Phone (239) 500-7546

54 New Hyde Park Rd
Garden City, NY 11530
Phone (516) 488-1313

100 Village Sq
Ste 170
Glen Cove, NY 11542
Phone (516) 676-3554

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: rbacigalupi@directaddress.net
  • Direct secure messaging: rbacigalupi@aid.emadirect.md

Organizations & group practices 6

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": "1270252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1740505668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 10TH AVE",
            "address_2": "2FN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 NEW HYDE PARK RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303909",
            "telephone_number": "516-488-1313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1253 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954916",
            "country_code": "US",
            "telephone_number": "631-665-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Village Sq Ste 170",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "115422667",
            "country_code": "US",
            "telephone_number": "516-676-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACIGALUPI",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-03",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "274859",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "274859",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "274859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.