Active NPIIndividual provider

Dr. Stacey A Cacciola, DO

Pediatrics in Brooklyn, New York

NPI Number1407807936
Practice location
168 Van Brunt Street, Brooklyn, NY 11231
Fax
—
Last updated
December 8, 2025

Stacey A Cacciola is a Pediatrics based in Brooklyn, NY. Stacey A Cacciola practices in Brooklyn, NY and has the professional credentials of DO. The NPI Number for Stacey A Cacciola is 1407807936 and holds a License No. 229060 (NY). The current practice location address for Stacey A Cacciola is 168 Van Brunt Street, Brooklyn, NY 11231 and can be reached out via phone at 917-736-9900.

Provider Profile Details

NPI Number
1407807936
Provider Name
Stacey A Cacciola
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
168 Van Brunt Street, Brooklyn, NY 11231
Phone Number
917-736-9900
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
May 12, 2006
Last Update Date
December 8, 2025
Certification Date
December 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
168 Van Brunt Street
Brooklyn, NY 11231
Zip
11231
Phone Number
917-736-9900
Brooklyn, NY 11231Get directions →

Provider Business Mailing Address Details

Address
60 Madison Ave Fl 5
New York, NY 10010-1600
City
New York
State
NY
Zip
10010-1600
Phone Number
212-545-2439
Fax Number
646-312-0481

License Information

License Number
229060
License State
NY
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stacey A Cacciola, DO?

The NPI number of Dr. Stacey A Cacciola, DO is 1407807936. It was assigned on May 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Stacey A Cacciola, DO?

Dr. Stacey A Cacciola, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 229060.

Where does Dr. Stacey A Cacciola, DO practice?

The practice location is 168 Van Brunt Street, Brooklyn, NY 11231. The office can be reached at 917-736-9900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407807936 directly on the NPPES registry website.

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