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

Mr. Robert Paul Cipolla

Individual provider Procedural Dermatology Physician · NPI 1710443015

Mr. Robert Paul Cipolla is a Physician Assistant in Staten Island, New York. Qualified in 2019, 7 years ago. Practices with Patricia C McCormack MD PC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019

Practice location Address checks out

48 Cordelia Ave
Staten Island, NY 10309-3434
Phone: (917) 494-0048
Show map & directions

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

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 1161539 (NY)

Record details

NPI number1710443015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 12, 2019
Last updated in NPPESFebruary 12, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Patricia C McCormack Md Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare