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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALEXANDRA CICCONE DPM
NPI 1699477604
Orthopaedic Surgery - Foot and Ankle Surgery in West Islip, NY

Active since March 21, 2023PECOS Enrolled
1111 MONTAUK HWY STE 100, WEST ISLIP, NY 11795(631) 422-4450 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Mar 18, 2026, Mar 21, 2023 (3 updates tracked since 2023).

About Dr. Alexandra Ciccone Dpm NPPES

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

DR. ALEXANDRA CICCONE DPM (NPI 1699477604) is an individual foot and ankle surgery provider in West Islip, New York, licensed in New York (P125984) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverhead, and is a graduate of Barry University School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1699477604
Entity TypeIndividualFemale
Primary Taxonomy207XX0004X
Provider Legal NameDR. ALEXANDRA CICCONECredential: DPM
Location Address1111 MONTAUK HWY STE 100West Islip, NY 11795-4910
Mailing Address2 Daisy LnSmithtown, NY 11787-4807 · (631) 339-2324
Phone(631) 422-4450
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2023
Enumeration DateMarch 21, 2023
Last NPPES UpdateSeptember 16, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1699477604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in NY · P125984
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
1111 MONTAUK HWY STE 100, West Islip, NY 11795
Open in Google Maps ↗

Secondary Practice Location 1

Location 1952 Roanoke AveRiverhead, NY 11901-2734 · Phone (631) 727-3592

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexandra Ciccone Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456817741
PECOS Enrollment IDI20260727004176
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 Reassignment

Medicare enrollment records show Alexandra Ciccone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Island Foot And Ankle
Same address
Foot & Ankle Surgery
1111 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1033410121 (631) 422-4450

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

Other Providers at the Same Location NPPES 2

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

DR. WILLIAM CHARLES ETTS DPM
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY STE 100
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
IFAA ORTHOTICS
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY STE 100
WEST ISLIP, NY 11795
Suffolk County (631) 422-4450

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 Alexandra Ciccone's NPI number?

The NPI number for Alexandra Ciccone is 1699477604. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Alexandra Ciccone located?

Alexandra Ciccone practices at 1111 Montauk Hwy Ste 100, West Islip, NY 11795. The listed phone number is (631) 422-4450.

What is Alexandra Ciccone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Alexandra Ciccone enrolled in Medicare?

Yes. Alexandra Ciccone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandra Ciccone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Ciccone reassigns Medicare benefits to Island Foot And Ankle (West Islip, NY). The 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 Alexandra Ciccone'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 Alexandra Ciccone was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.