Individual provider Active NPI

Giacomo Avolio, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1942283445
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
195153 Issued in NY
Practice address
10 Union SQ E
Suite 5P Beth Israel Med Ctr Dept of Rehad Medicine
New York, NY 10003-3314
Phone
(212) 844-5525
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 195153 NY Primary

Addresses

Primary practice location

10 Union SQ E
Suite 5P Beth Israel Med Ctr Dept of Rehad Medicine
New York, NY 10003-3314

Mailing address

PO Box 95000-2437
Philadelphia, PA 19195-2437
Phone (212) 844-5525

Other identifiers 1

IdentifierTypeStateIssuer
01774616MedicaidNY

Other names 1

  • Jock Avolio Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041102000991 NY Practitioner - Physical Medicine and Rehabilitation 3173585049 Reassigns benefits to 2 organizations
I20210128001767 NJ Practitioner - Physical Medicine and Rehabilitation 3173585049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Albert Einstein College of Medicine of Yeshiva University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kessler Professional Services LLCGroup PAC ID 2860462652, 42 clinicians

Practice addresses (Care Compare)

300 Market St
Saddle Brook, NJ 07663-5309
Phone (201) 368-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
78.56
Improvement activities
40
Cost
70.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195153NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Hand & Trauma Institute CurrentSince Nov 20, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 26, 2017 Accepting new patients
Kessler Professional Services LLC CurrentSince Mar 22, 2021 Accepting new patients
Beth Israel Medical Center Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1255 Broad St
Ste 201A
Bloomfield, NJ 07003
Phone (201) 833-9500

663 Palisade Ave
Ste 302
Cliffside Pk, NJ 07010
Phone (201) 833-9500

300 Market St
Saddle Brook, NJ 07663
Phone (201) 368-6000

111 Galway Pl
Ste 300
Teaneck, NJ 07666
Phone (201) 833-9500

1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755

10 Union Sq E
Ste 5P
New York, NY 10003
Phone (212) 844-8618

5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

300 Community Dr
Plandome, NY 11030

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

972 Brush Hollow Rd
Westbury, NY 11590

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1942283445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2437",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952437",
            "telephone_number": "212-844-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "SUITE 5P BETH ISRAEL MED CTR DEPT OF REHAD MEDICINE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVOLIO",
        "first_name": "GIACOMO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "195153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01774616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCK",
            "last_name": "AVOLIO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.