Active NPI
Courtney Boccio, PA-C
- Physician Assistant
- Garden City, NY
National Provider Identifier
1912735374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 999 Franklin Ave
Garden City, NY 11530-2913 - Phone
- (516) 742-3404
- NPI assigned
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NY | Primary |
Addresses
Primary practice location
999 Franklin Ave
Garden City, NY 11530-2913
Mailing address
999 Franklin Ave
Garden City, NY 11530-2913
Phone (516) 742-3404
Other practice location 1
1040 Park Ave Ste 1Bc
New York, NY 10028-1032
Phone (212) 879-8506
Other practice location 2
220 Northern Blvd Ste 201
Greenvale, NY 11548-1234
Phone (516) 439-5500
Other practice location 3
206 E Jericho Tpke
Huntington Station, NY 11746-7330
Phone (631) 683-5630
Other practice location 4
200 W Main St
Building A Suite 101
Babylon, NY 11702
Phone (631) 376-0656
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
999 Franklin Ave
Garden City, NY 11530-2913
Hospital & facility affiliations
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032426 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Nassau Communities Hospital | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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.
-
- Specialist
- Garden City, NY
- NPI 1821164526
-
- Diagnostic Radiology Physician
- Oceanside, NY
- NPI 1356487425
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1912735374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 FRANKLIN AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302913",
"telephone_number": "516-742-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 FRANKLIN AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302913",
"telephone_number": "516-742-3404"
}
],
"practiceLocations": [
{
"address_1": "1040 Park Ave Ste 1Bc",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100281032",
"country_code": "US",
"telephone_number": "212-879-8506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Northern Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Greenvale",
"state": "NY",
"postal_code": "115481234",
"country_code": "US",
"telephone_number": "516-439-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 E Jericho Tpke",
"address_purpose": "LOCATION",
"city": "Huntington Station",
"state": "NY",
"postal_code": "117467330",
"country_code": "US",
"telephone_number": "631-683-5630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Main St",
"address_2": "Building A Suite 101",
"address_purpose": "LOCATION",
"city": "Babylon",
"state": "NY",
"postal_code": "11702",
"country_code": "US",
"telephone_number": "631-376-0656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOCCIO",
"first_name": "COURTNEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-10-07",
"certification_date": "2024-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.