JOHN P DODARO (NPI# 1407817562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407817562 |
| Entity Type | Individual |
| Full Name | JOHN P DODARO |
| Credential | MD |
| Practice Address |
1 Teleport Dr Ste 200 Staten Island NY 10311-1000 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 7183700072 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 25MA06414200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 191172 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01840151 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3663 Route 9 N Ste 102, Old Bridge, NJ 088573518 | 7326797575 |
| Street Address |
1 TELEPORT DR STE 200 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10311-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306320510 | Rufina Eframi | Audiologist | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2018-09-24 |
| 1275927154 | Michael Amato | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2015-03-27 |
| 1518132943 | Shawn Christopher Ciecko | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2008-04-27 |
| 1487701777 | Peter Joseph Miceli | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2007-01-05 |
| 1033158886 | Dorothy Chau | Allergy & Immunology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2006-06-06 |
| 1437198538 | Mark E Carney | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2006-06-05 |
| 1518912781 | Abraham I Sinnreich | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356674824 | Coleen K Abrams | Physician Assistant | 2 Teleport Dr Ste 207, Corporate Commons Two, Staten Island, NY 10311-1004 | 2009-09-15 |
| 1295884773 | Pavlides & Benson Ob/gyn Associates, PC | Obstetrics & Gynecology | 2 Teleport Dr, Suite 207, Staten Island, NY 10311-1006 | 2007-01-10 |
| 1538461082 | Lynda Surck | Physician Assistant | 2 Teleport Dr, Suite 207, Staten Island, NY 10311-1006 | 2010-12-03 |
| 1588863401 | Rita Shats | Obstetrics & Gynecology | 2 Teleport Dr, Suite 207, Staten Island, NY 10311-1006 | 2007-07-11 |
| 1992228274 | Emma Mccue | Audiologist | 1 Teleport Dr Ste 100, Staten Island, NY 10311-1007 | 2017-07-19 |
| 1629344031 | Janice Caruselle | Registered Nurse | 1 Teleport Dr, Staten Island, NY 10311-1007 | 2012-03-29 |
| 1992290373 | Victoria Susan Laurella | Audiologist | 1 Teleport Dr, Staten Island, NY 10311-1007 | 2018-06-27 |
| 1962922765 | Karissa Gavin | Audiologist | 1 Teleport Dr, Staten Island, NY 10311-1007 | 2017-06-22 |
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245542000 | Homere Al Moutran | Otolaryngology | 501 Seaview Ave Ste 202, Staten Island, NY 10305-3400 | 2010-07-09 |
| 1619039815 | Clovelakes Ent PC | Otolaryngology | 1414 Victory Blvd, Staten Island, NY 10301 | 2006-12-14 |
| 1063420958 | Helen Hyosun Kim | Otolaryngology | 1414 Victory Boulevard, Staten Island, NY 10301 | 2006-08-04 |
| 1336122548 | Bartolomeo Vincent Castellano | Otolaryngology | 2052 Richmond Rd, 1c, Staten Island, NY 10306-2548 | 2005-11-22 |
| 1275927154 | Michael Amato | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2015-03-27 |
| 1740532829 | Peter J Miceli Md PC | Otolaryngology | 1550 Richmond Ave, Staten Island, NY 10314-1510 | 2012-10-12 |
| 1295026037 | Ansley Morgan Roche | Otolaryngology | 501 Seaview Ave Ste 202, Staten Island, NY 10305-3400 | 2011-04-27 |
| 1518132943 | Shawn Christopher Ciecko | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2008-04-27 |
| 1487701777 | Peter Joseph Miceli | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2007-01-05 |
| 1306907753 | Kenneth Wooh | Otolaryngology | 256 Mason Ave, Staten Island, NY 10305-3408 | 2006-12-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10311 |
Please comment or provide details below to improve the information on JOHN P DODARO.
| 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.