- Practice location
- 168 Van Brunt Street, Brooklyn, NY 11231
- Phone
- 917-736-9900
- 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 - City
- Brooklyn
- State
- New York
- Zip
- 11231
- Phone Number
- 917-736-9900
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Brooklyn, NY
View all Pediatrics providers in Brooklyn →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.