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ANTONIETTA DICICCO NP
NPI 1396442190
Nurse Practitioner - Family in East Setauket, NY

Active since February 13, 2023PECOS Enrolled
12 STONY WOOD RD, EAST SETAUKET, NY 11733(516) 424-7474 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonietta Dicicco Np NPPES

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

ANTONIETTA DICICCO NP (NPI 1396442190) is an individual family provider in East Setauket, New York, licensed in New York (F351108-01) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396442190
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANTONIETTA DICICCOCredential: NP
Location Address12 STONY WOOD RDEast Setauket, NY 11733-1839
Mailing Address12 Stony Wood RdEast Setauket, NY 11733-1839 · (516) 424-7474
Phone(516) 424-7474
Sole ProprietorYes
Enumeration DateFebruary 13, 2023
NPPES CertifiedFebruary 12, 2023
✔ NPI 1396442190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F351108-01
12 STONY WOOD RD, East Setauket, NY 11733
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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)

Antonietta Dicicco Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Antonietta Dicicco's NPI number?

The NPI number for Antonietta Dicicco is 1396442190. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Antonietta Dicicco located?

Antonietta Dicicco practices at 12 Stony Wood Rd, East Setauket, NY 11733. The listed phone number is (516) 424-7474.

What is Antonietta Dicicco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Antonietta Dicicco enrolled in Medicare?

Yes. Antonietta Dicicco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonietta Dicicco was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.