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

Mr. Peter Joseph Sicardi Jr.

Individual provider Surgical Physician Assistant · NPI 1720612880

Mr. Peter Joseph Sicardi Jr. is a Physician Assistant in East Patchogue, New York. Qualified in 2020, 6 years ago. Practices with New York University, a 5,884-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020

Practice location Address checks out

285 Sills Rd Bldg 18
East Patchogue, NY 11772-4808
Phone: (631) 475-1224
Fax: (631) 475-1588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 715 Roanoke Ave Ste 4, Riverhead, NY 11901-2769 — (631) 475-1224
  • 2500 Nesconset Hwy Bldg 20a, Stony Brook, NY 11790-2564 — (631) 475-1224

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 025498-01 (NY)

Record details

NPI number1720612880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2020
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Patchogue