Dr. John A Procaccino Jr., MD
Dr. John A Procaccino Jr. is a Surgery Physician provider (Surgery) practicing in Great Neck, NY, registered in the NPPES registry with NPI 1114997939 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1114997939 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. John A Procaccino Jr. |
| Credential | MD |
| Sex | Male |
| Practice address | Great Neck, NY, 11021 |
| Phone | 5167302100 |
| Fax | 5167302121 |
| Enumeration date | 2006-01-24 |
| Last updated in NPPES | 2013-09-23 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 171315 | NY |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: John Procaccino, MD NPI: 1114997939 Taxonomy: 208600000X (Surgery Physician) Address: Great Neck, NY, 11021
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174515019 | Eric Cantos | Individual | Diagnostic Radiology Physician | Great Neck, NY |
| 1619969565 | Shirley Bow | Individual | Diagnostic Radiology Physician | Great Neck, NY |
| 1053303909 | Advanced Medical Imaging of Long Island PC | Organization | Diagnostic Radiology Physician | Great Neck, NY |
| 1740260918 | Toufic Safa | Individual | Vascular Surgery Physician | Great Neck, NY |
| 1952372963 | Peter Patetsios | Individual | Specialist | Great Neck, NY |
| 1265408587 | Kelly Tortorella | Individual | Medical Physician Assistant | Great Neck, NY |
| 1245207117 | Jeffrey Kaplan | Individual | Orthopaedic Surgery Physician | Great Neck, NY |
| 1770550691 | Richard Taubman | Individual | Specialist | Great Neck, NY |
Verify this record
Cross-check NPI 1114997939 against the authoritative CMS record: view Dr. John A Procaccino Jr. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-09-23.