Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407807936 Individual Practitioner Female Practitioner

Dr. Stacey A Cacciola , DO

Pediatrics • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Cacciola, DO is a registered healthcare professional specializing in Pediatrics in Brooklyn, NY. Practice services are available at 168 VAN BRUNT STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

168 Van Brunt Street

Brooklyn, NY 11231

Telephone 9177369900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.1 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
769 Specialists

Practicing in Brooklyn, NY (6127 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 229060

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03040613 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Atif Muhammad , MD

Family Medicine

NPI 1124552476

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 08, 2025

Registered at 168 VAN BRUNT STREET, BROOKLYN, NY 11231 (Tel: 9177369900)

📍
Updated Practice Location December 07, 2018

Registered at 94-98 MANHATTAN AVENUE, BROOKLYN, NY 112062505 (Tel: 7183880390)

📍
Updated Business Mailing Address December 07, 2018

Registered at 60 MADISON AVE FL 5, NEW YORK, NY 100101600 (Tel: 2125452439)

NPI Profile Active October 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2011

Registered at 2730 GERRITSEN AVE, BROOKLYN, NY 112295915 (Tel: 7183361900)

📍
Updated Business Mailing Address October 13, 2011

Registered at 2308 STUART ST, #3J, BROOKLYN, NY 112295814 (Tel: 7187431350)

👤
Provider Name / Credentials Updated October 13, 2011

Recorded as STACEY CACCIOLA, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2011

Pediatrics (License #229060 in NY)

🟢
Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407807936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: December 08, 2025
Sole Proprietor: No

Mailing Address

60 Madison Ave Fl 5

New York, NY 100101600

Phone: 2125452439

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.