Individual provider Active NPI

Maria Cipollone, MD

  • Plastic and Reconstructive Surgery Physician
  • Rockville Centre, NY
National Provider Identifier
1770658759
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2383271 Issued in NY
Practice address
143 N Long Beach Rd Ste 4
Rockville Centre, NY 11570-4438
Phone
(516) 442-5950
Fax
(516) 442-5945
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 2383271 NY Primary

Addresses

Primary practice location

143 N Long Beach Rd Ste 4
Rockville Centre, NY 11570-4438

Mailing address

143 N Long Beach Rd Ste 4
Rockville Centre, NY 11570-4438
Phone (516) 442-5950

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000206 NY Practitioner - Plastic and Reconstructive Surgery 9931276821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Chicago, Pritzker School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KH Plastic Surgery PCGroup PAC ID 3476859265, 2 clinicians

Practice addresses (Care Compare)

143 N Long Beach Rd
Suite 4
Rockville Centre, NY 11570-4438
Phone (516) 442-5950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2383271NYMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KH Plastic Surgery PC CurrentSince Mar 20, 2023 Accepting new patients

Locations

143 N Long Beach Rd
Ste 4
Rockville Ctr, NY 11570
Phone (516) 442-5950

Interoperability endpoints

  • Direct secure messaging: mcipollone67952@northwell.direct-ci.com

Organizations & group practices 1

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1770658759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N LONG BEACH RD STE 4",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704438",
            "telephone_number": "516-442-5950",
            "fax_number": "516-442-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N LONG BEACH RD STE 4",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704438",
            "telephone_number": "516-442-5950",
            "fax_number": "516-442-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLONE",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "2383271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.