OrganizationActive
Peconic Urology P.C.
NPI 1003940248 · Urology Physician · Massapequa, NY
Peconic Urology P.C. is a Urology Physician organization in Massapequa, NY (NPI 1003940248).
Provider details
- NPI number
- 1003940248
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Mucciolo, President(516) 541-5500
- License
- 148353 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 Hicksville Rd
Suite 3
Massapequa, NY 11758-5819
Phone: (516) 541-5500
Fax: (516) 541-5199
Approximate (ZIP-level) locationGet directions
Mailing address
20 Hicksville Rd
Massapequa, NY 11758-5819
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Peconic Urology P.C.'s NPI number?
- Peconic Urology P.C.'s National Provider Identifier (NPI) is 1003940248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peconic Urology P.C.?
- Peconic Urology P.C. is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Peconic Urology P.C. located?
- Peconic Urology P.C.'s practice location on file with NPPES is 20 Hicksville Rd, Massapequa, NY 11758-5819.
- What is Peconic Urology P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Peconic Urology P.C. is (516) 541-5500.
- Who is the authorized official for Peconic Urology P.C.?
- The authorized official listed on Peconic Urology P.C.'s NPPES record is Robert Mucciolo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peconic Urology P.C.'s NPI active?
- Yes — Peconic Urology P.C.'s NPI (1003940248) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.