Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Matthew Dicicco

Individual provider Certified Registered Nurse Anesthetist · NPI 1558981233

Mr. Matthew Dicicco is a Certified Registered Nurse Anesthetist (CRNA) in Oceanside, New York. Qualified in 2020, 6 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 171-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

1 Healthy Way
Oceanside, NY 11572-1551
Phone: (516) 632-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Nicholls Rd, Stony Brook, NY 11794-0001 — (631) 689-8333

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 678303 (NY)

Record details

NPI number1558981233
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address28 Fern St, Floral Park, NY 11001-3208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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