Active NPI
Kristin Sticco, DO
- Hematology (Pathology) Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Pathology) Physician
- License
- 274195
- Practice address
- 27005 76TH Ave
New Hyde Park, NY 11040-1402 - Phone
- (516) 304-7387
- NPI assigned
- Jul 20, 2011
- Last updated
- Nov 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 274195 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology (Pathology) Physician | 207ZH0000X | 274195 | NY | Primary |
Addresses
Primary practice location
27005 76TH Ave
New Hyde Park, NY 11040-1402
Mailing address
65 Kingsbury Rd
Garden City, NY 11530-3141
Phone (516) 279-0081
Other practice location 1
310 E 57th Street
New York, NY 10065
Phone (212) 699-5233
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Healthy Way
Oceanside, NY 11572-1551
Phone (877) 768-8462
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274195 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients |
Locations
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595
300 Community Dr
Manhasset, NY 11030
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
111 E 77th St
New York, NY 10075
Phone (212) 434-2810
27005 76th Ave
North New Hyde Pk, NY 11040
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
2020 Wantagh Ave
Wantagh, NY 11793
Phone (516) 961-4519
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 12
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.
-
dba Mount Sinai Marathon Medical
- Internal Medicine Physician
- Oceanside, NY
- NPI 1508127531
-
dba Nassau Department of Psychiatry and Psychology, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Anatomic Pathology & Clinical Pathology, NY
-
dba Mount Sinai Doctors Long Island
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Neonatal-Perinatal Medicine Physician
- Rockville Centre, NY
- NPI 1396212445
-
- Psychiatry Physician
- Hempstead, NY
- NPI 1508333956
-
dba Numc Department of Pathology, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1720003312
-
dba NUMC Department of Family Medicine, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1932497286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 KINGSBURY RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303141",
"telephone_number": "516-279-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402",
"telephone_number": "516-304-7387"
}
],
"practiceLocations": [
{
"address_1": "310 E 57th Street",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10065",
"country_code": "US",
"telephone_number": "212-699-5233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STICCO",
"first_name": "KRISTIN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "274195",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "NY",
"license": "274195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.