Individual provider Active NPI

Robert Aldo Vaccarino, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1922086354
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
170563-1 Issued in NY
Practice address
1435 86TH St
Brooklyn, NY 11228-3435
Phone
(718) 837-0010
Fax
(718) 837-1411
NPI assigned
Jan 5, 2006
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 170563-1 NY Primary
Nuclear Cardiology Physician 207UN0901X 170563-1 NY

Addresses

Primary practice location

1435 86TH St
Brooklyn, NY 11228-3435

Mailing address

1435 86TH St
Brooklyn, NY 11228-3435
Phone (718) 837-0010

Other identifiers 1

IdentifierTypeStateIssuer
01793324MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
170563-1NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Kings Medical PC CurrentSince Mar 1, 2015 Accepting new patients
Brooklyn Nuclear Spect Imaging PC Cardiovascular Disease Past Accepting new patients
Brooklyn Nuclear Spect Imaging Cardiovascular Disease Past Accepting new patients
Yakov Levy MD PC Past Accepting new patients
SVS Wellcare Medical PLLC Past Accepting new patients
Brooklyn Nuclear Spect Imaging, P.C. Cardiovascular Disease Past Accepting new patients
Cardiovascular Imaging of Brooklyn, PC Cardiovascular Disease Past Accepting new patients
Stony Brook Radiologic Services PC PastSince Dec 5, 2000 Accepting new patients
Brooklyn Nuclear Spect Imaging, P.C Cardiovascular Disease Past Accepting new patients
Brooklyn Nuclear Spect Imaging, P.C. Cardiovascular Disease Past Accepting new patients
Forest Hills Nuclear Spect Imaging PC Nuclear Cardiology PastSince Feb 2, 1999 Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Cardiovascular Disease Past Accepting new patients
Provider Medical Care PC Past Accepting new patients
Narrows MRI and Diagnostic Radiology, PC Past Accepting new patients
Ik Medical PC PastSince Oct 31, 2021 Accepting new patients
Mantia Medical Associates Past Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Cardiovascular Disease Past Accepting new patients
Cardiovascular Imaging of Brooklyn, PC Nuclear Cardiology Past Accepting new patients
Rockland Nuclear Spect Imaging, P.C. Cardiovascular Disease PastSince Dec 30, 2003 Accepting new patients
Aristahealth Medical Care PC PastSince Jul 9, 2023 Accepting new patients
Brooklyn Nuclear Spect Imjaging, PC Cardiovascular Disease Past Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Cardiovascular Disease Past Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Cardiovascular Disease Past Accepting new patients
Meadows Nuclear Spect Imaging, PC Nuclear Cardiology PastSince Feb 2, 1999 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Interoperability endpoints

  • Direct secure messaging: robertvaccarino@mai.allscriptsdirect.net

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1922086354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283435",
            "telephone_number": "718-837-0010",
            "fax_number": "718-837-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283435",
            "telephone_number": "718-837-0010",
            "fax_number": "718-837-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARINO",
        "first_name": "ROBERT",
        "middle_name": "ALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "170563-1",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "170563-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.