MR. VINCENT GANDOLFO PA
NPI 1417069667
Physician Assistant in Mineola, NY
About Mr. Vincent Gandolfo Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. VINCENT GANDOLFO PA (NPI 1417069667) is an individual physician assistant in Mineola, New York, licensed in New York (005721-1) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Vincent Gandolfo Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
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 Vincent Gandolfo's NPI number?
The NPI number for Vincent Gandolfo is 1417069667. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Vincent Gandolfo located?
Vincent Gandolfo practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-9606.
What is Vincent Gandolfo's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Vincent Gandolfo enrolled in Medicare?
Yes. Vincent Gandolfo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Vincent Gandolfo affiliated with any hospitals?
According to CMS data, Vincent Gandolfo is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Vincent Gandolfo was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Vincent Gandolfo, PA · NPI 1417069667
Physician Assistant physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1417069667 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 005721-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 259 1ST ST, Mineola, NY 11501-3957
- **Phone:** (516) 663-9606 · **Fax:** (516) 663-2184
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** September 18, 2008
- **Other identifiers:** Medicare PIN 0F0521
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Source: [NPI Profile](https://npiprofile.com/npi/1417069667) · Data from the CMS NPPES public registry.