NPIMap

Individual provider Active NPI

Anthony Vaccaro, M.D.

  • Radiation Oncology Physician
  • Malone, NY
National Provider Identifier
1790786051
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
181259 Issued in NY
Practice address
23 4TH St Ste 1&2
Malone, NY 12953-1331
Phone
(518) 481-8080
Fax
(518) 481-2406
NPI assigned
Aug 9, 2005
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 181259 NY Primary

Addresses

Primary practice location

23 4TH St Ste 1&2
Malone, NY 12953-1331

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473

Other practice location 1

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000139 NY Practitioner - Radiation Oncology 2062542475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alice Hyde Medical CenterGroup PAC ID 4082525837, 88 clinicians

Practice addresses (Care Compare)

23 4TH St
Suite 1
Malone, NY 12953-1331
Phone (518) 481-2880

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45.53 of 100Reported as individual
Quality
59.41
Improvement activities
0
Cost
68.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Radiation Therapy, PC Radiation Oncology CurrentSince Jul 1, 1994 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Alice Hyde Medical Center CurrentSince Jan 28, 2025 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
Northeast Regional Radiation Oncology Network Inc Radiation Oncology Past Accepting new patients

Locations

23 4th St
#1
Malone, NY 12953
Phone (518) 483-8962

23 4th St
#2
Malone, NY 12953
Phone (518) 481-2468

23 4th St
Ste 12
Malone, NY 12953
Phone (518) 481-8080

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

Interoperability endpoints

  • Direct secure messaging: avaccaro471468@direct.uvmhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1790786051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 4TH ST STE 1&2",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531331",
            "telephone_number": "518-481-8080",
            "fax_number": "518-481-2406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Beekman St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011438",
            "country_code": "US",
            "telephone_number": "518-562-7120",
            "fax_number": "518-562-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "181259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

Verify at the official NPI Registry.