Individual provider Active NPI

Diana Lucia Gasparro-Zucconi, RPA-C

  • Physician Assistant
  • Hauppauge, NY
National Provider Identifier
1962776070
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015340 Issued in NY
Practice address
700 Veterans Memorial Hwy Ste Cl100
Hauppauge, NY 11788-3085
Phone
(631) 257-5200
NPI assigned
Mar 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015340 NY Primary
Surgical Physician Assistant 363AS0400X 015340 NY

Addresses

Primary practice location

700 Veterans Memorial Hwy Ste Cl100
Hauppauge, NY 11788-3085

Mailing address

54 Mobrey LN
Smithtown, NY 11787-4294
Phone (631) 523-2293

Other names 1

  • Mrs. Diana Lucia Gasparro-Zucconi Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140710001587 NY Practitioner - Physician Assistant 4284859034 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
John T. Mather Memorial Hospital Current Accepting new patients
John T Mather Memorial Hospital CurrentSince Jun 10, 2023 Accepting new patients
New York University CurrentSince Oct 6, 2025 Accepting new patients
John T Mather Memorial Hospital Current Accepting new patients
New York University CurrentSince Oct 6, 2025 Accepting new patients
MC MD P.C. CurrentSince Sep 28, 2025 Accepting new patients
John T Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital CurrentSince Jun 10, 2023 Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients

Locations

100 Hospital Rd
Ste 216
East Patchogue, NY 11772
Phone (631) 475-5511

285 Sills Rd
Bldg 5-6E
East Patchogue, NY 11772
Phone (631) 475-2858

700 Vets Hwy
Ste CL100
Hauppauge, NY 11788
Phone (631) 257-5200

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Networks

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1962776070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MOBREY LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874294",
            "telephone_number": "631-523-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VETERANS MEMORIAL HWY STE CL100",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883085",
            "telephone_number": "631-257-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARRO-ZUCCONI",
        "first_name": "DIANA",
        "middle_name": "LUCIA",
        "name_prefix": "Miss",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015340",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "015340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "GASPARRO-ZUCCONI",
            "middle_name": "LUCIA",
            "prefix": "MRS.",
            "credential": "RPA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.