MR. JOHN MICHAEL DEPIETRO (NPI# 1194856120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194856120 |
| Entity Type | Individual |
| Full Name | MR. JOHN MICHAEL DEPIETRO |
| Credential | NP |
| Practice Address |
139 Plandome Rd Manhasset NY 11030-2331 |
| Mailing Address |
2200 Northern Blvd Ste 133 Greenvale NY 11548-1226 |
| Practice Telephone | 5163654949 |
| Mailing Telephone | 5163528100 |
| Mailing Fax Number | 5163527348 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
304358 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
139 PLANDOME RD |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447676903 | Precision Surgery of New York PC | Surgery | 139 Plandome Rd, Manhasset, NY 11030-2331 | 2014-03-08 |
| 1073717666 | Syed M. Sayeed | Surgery | 139 Plandome Rd, Manhasset, NY 11030-2331 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740298439 | Jayne Greene | Nurse Practitioner | 110 Chestnut Rd, Manhasset, NY 11030-1237 | 2006-08-04 |
| 1467082453 | Shantel Leeander Coleman | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-01-19 |
| 1508421363 | Neenu Puthusseril | Nurse Practitioner | 1129 Northern Blvd, Manhasset, NY 11030-3045 | 2019-05-07 |
| 1629542691 | Julie Lauren Pennetti | Nurse Practitioner | 400 Community Dr, Manhasset, NY 11030-3815 | 2019-01-14 |
| 1861991002 | Jessy Koshy Zachariah | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2018-02-02 |
| 1568981132 | Thomas Villani | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2017-09-14 |
| 1851816342 | Anuja Shrestha | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2017-08-07 |
| 1043767155 | Radica Palmer | Nurse Practitioner | 400 Community Dr, Manhasset, NY 11030-3815 | 2016-09-07 |
| 1376904946 | Gina Lespinasse | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2016-03-10 |
| 1114398229 | Lisa Helaine Gallagher | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2015-10-14 |
| Find all providers in MANHASSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.