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

Robert L Mucciolo, MD

Individual provider Urology Physician · NPI 1245334473

Robert L Mucciolo, MD is an Urology in Massapequa, New York. Qualified in 1979, 47 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
47
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20 Hicksville Rd Ste 3
Massapequa, NY 11758-5819
Phone: (516) 541-5500
Fax: (516) 541-5199
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 148353 (NY)

Record details

NPI number1245334473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 8, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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