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MATTHEW BISACCIA DO
NPI 1174027460
Student in an Organized Health Care Education/Training Program in Albany, NY

Active since March 21, 2018PECOS Enrolled
47 NEW SCOTLAND AVE DEPT OF, ALBANY, NY 12208(518) 262-5511 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Bisaccia Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW BISACCIA DO (NPI 1174027460) is an individual student in an organized health care education/training program in Albany, New York, licensed in New York (63996) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2017).

NPPES Registry Identity

NPI1174027460
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW BISACCIACredential: DO
Location Address47 NEW SCOTLAND AVE DEPT OFAlbany, NY 12208-3412
Mailing Address47 New Scotland Ave Dept OfAlbany, NY 12208-3412 · (518) 262-5511
Phone(518) 262-5511
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2017
Enumeration DateMarch 21, 2018
✔ NPI 1174027460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 63996
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
47 NEW SCOTLAND AVE DEPT OF, Albany, NY 12208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Bisaccia Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840536405
PECOS Enrollment IDI20260430002619
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE SICA DO
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5511
INNOCENT NJOKU M.D.
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-3095
J'NAE SMITH MD
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5626
JEROME RAYMOND TREMBLEY DO
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5626
IAN HAMMER
Psychiatry & Neurology (Psychiatry)
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-7195
NADEZDA MAMEDOVA
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5377
JULIANN ELEANOR LAJOIE
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5377
DR. MARCO DIEGO VITTO MD
Radiology (Diagnostic Radiology)
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-3277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Bisaccia's NPI number?

The NPI number for Matthew Bisaccia is 1174027460. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Matthew Bisaccia located?

Matthew Bisaccia practices at 47 New Scotland Ave Dept Of, Albany, NY 12208. The listed phone number is (518) 262-5511.

What is Matthew Bisaccia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Bisaccia enrolled in Medicare?

Yes. Matthew Bisaccia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Bisaccia was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.