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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: August 09, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 8 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.