LIDIA CICCONETTI PA
NPI 1629160866
Physician Assistant - Surgical in Valley Stream, NY
About Lidia Cicconetti Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIDIA CICCONETTI PA (NPI 1629160866) is an individual surgical provider in Valley Stream, New York, licensed in New York (008924) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Northwell Hospital Glen Cove, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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
Lidia Cicconetti 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwell Hospital Glen Cove
Acute Care Hospitals · Glen Cove, NYMedicare 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.
VALLEY STREAM, NY 11580
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 Lidia Cicconetti's NPI number?
The NPI number for Lidia Cicconetti is 1629160866. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Lidia Cicconetti located?
Lidia Cicconetti practices at 900 Franklin Ave, Valley Stream, NY 11580. The listed phone number is (516) 256-6000.
What is Lidia Cicconetti's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Lidia Cicconetti enrolled in Medicare?
Yes. Lidia Cicconetti 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 Lidia Cicconetti affiliated with any hospitals?
According to CMS data, Lidia Cicconetti is affiliated with Northwell Hospital Glen Cove.
When was this NPI record last updated?
The NPPES record for Lidia Cicconetti was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Lidia Cicconetti, PA · NPI 1629160866
Surgical physician in Valley Stream, New York. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1629160866 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 008924 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 FRANKLIN AVE, Valley Stream, NY 11580-2145
- **Phone:** (516) 256-6000
## 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 2002
## Record status
- **NPPES last updated:** November 27, 2012
- **Other identifiers:** Medicaid 001320600 (FL); Other 008924 (NY); Medicare UPIN P80695; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629160866) · Data from the CMS NPPES public registry.