MICHELE CAMILLE IACOVIELLO PA
NPI 1780158501
Physician Assistant in Garden City, NY

Q: What is Michele Iacoviello's NPI number?

The NPI number for Michele Iacoviello is 1780158501. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Q: What is Michele Iacoviello's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 15, 2019PECOS Enrolled

777 ZECKENDORF BLVD, GARDEN CITY, NY 11530(516) 832-8870 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Apr 6, 2022, Jan 15, 2019 (3 updates tracked since 2019).

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About Michele Camille Iacoviello Pa NPPES

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

MICHELE CAMILLE IACOVIELLO PA (NPI 1780158501) is an individual physician assistant in Garden City, New York and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780158501

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELE CAMILLE IACOVIELLOCredential: PA

Location Address777 ZECKENDORF BLVDGarden City, NY 11530-2126

Mailing Address4 Wheeler DrHuntington Station, NY 11746-2645 · (631) 629-4696

Phone(516) 832-8870

Sole ProprietorNo

Enumeration DateJanuary 15, 2019

Last NPPES UpdateApril 18, 20223 updates tracked since enumeration

NPPES CertifiedApril 18, 2022

✔ NPI 1780158501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 005017 (NY)

777 ZECKENDORF BLVD, Garden City, NY 11530

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Camille Iacoviello Pa 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 11530 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

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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