DR. JOHN WILLIAM DECORATO M.D. - NPI 1649243270 - Specialist in Staten Island, NY

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Dr. John William Decorato M.d. NPPES

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

DR. JOHN WILLIAM DECORATO M.D. (NPI 1649243270) is an individual specialist in Staten Island, New York, licensed in New York (167823) and active in the NPI registry since February 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649243270

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. JOHN WILLIAM DECORATOCredential: M.D.

Location Address2777 HYLAN BLVDStaten Island, NY 10306-4660

Mailing Address2777 Hylan BlvdStaten Island, NY 10306-4660 · (718) 987-0300 · Fax (718) 987-0305

Phone(718) 987-0300

Fax(718) 987-0305

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1649243270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 167823

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2777 HYLAN BLVD, Staten Island, NY 10306

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. John William Decorato M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN W. DECORATO, M.D., P.C.

Specialist