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DR. STACEY A CACCIOLA D.O.
NPI 1407807936
Pediatrics in Brooklyn, NY

Active since May 12, 2006PECOS Enrolled
168 VAN BRUNT STREET, BROOKLYN, NY 11231(917) 736-9900 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2025, May 29, 2020, Dec 7, 2018 (3 updates tracked since 2018).

About Dr. Stacey A Cacciola D.o. NPPES

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

DR. STACEY A CACCIOLA D.O. (NPI 1407807936) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (229060) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407807936
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. STACEY A CACCIOLACredential: D.O.
Location Address168 VAN BRUNT STREETBrooklyn, NY 11231
Mailing Address60 Madison Ave Fl 5New York, NY 10010-1600 · (212) 545-2439 · Fax (646) 312-0481
Phone(917) 736-9900
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1407807936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 229060
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
168 VAN BRUNT STREET, Brooklyn, NY 11231
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Other Identifiers 1

Medicaid03040613NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacey A Cacciola D.o. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stacey Cacciola reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nyu Langone Hospitals
2.6 mi
Multi-Specialty
150 55TH ST
Brooklyn, NY 11220
  • Reassigned Medicare billing, New York enrollment
  • 616 clinicians in this Medicare group
NPI 1831549559 (718) 630-7000
Coney Island Medical Practice Plan, P.C.
7.1 mi
General Practice
2601 OCEAN PKWY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1386951762 (718) 616-5354
New York University
1,034 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11231 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 Stacey Cacciola's NPI number?

The NPI number for Stacey Cacciola is 1407807936. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Stacey Cacciola located?

Stacey Cacciola practices at 168 Van Brunt Street, Brooklyn, NY 11231. The listed phone number is (917) 736-9900.

What is Stacey Cacciola's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stacey Cacciola enrolled in Medicare?

Yes. Stacey Cacciola is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Cacciola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Cacciola reassigns Medicare benefits to 3 organizations: Nyu Langone Hospitals (Brooklyn, NY), Coney Island Medical Practice Plan, P.C. (Brooklyn, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Cacciola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Cacciola was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.