MICHAEL DEVITO (NPI# 1710963160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710963160 |
| Entity Type | Individual |
| Full Name | MICHAEL DEVITO |
| Credential | MD |
| Practice Address |
6 Executive Park Dr Albany NY 12203-3791 |
| Practice Telephone | 5184829111 |
| Practice Fax Number | 5184826142 |
| Mailing Telephone | 5184829111 |
| Mailing Fax Number | 5184826142 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 177478 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 01133971 | 05 | |
| NY | CDPHP | 10000486 | 01 |
| NY | MVP | 04146 | 01 |
| NY | GHI | 0600005 | 01 |
| NY | BLUE CROSS | 27F0810 | 01 |
| NY | AETNA | 4594621 | 01 |
| NY | BLUE SHIELD | 000406181004 | 01 |
| NY | WELLCARE | 11208 | 01 |
| NY | GHI HMO | 11208 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194036863 | Michael D. Devito | Physical Therapist | 35 Oneida Ave, Dumont, NJ 07628-2109 | 2010-06-28 |
| 1306902689 | Michael Devito | Marriage & Family Therapist | 3010 W Cornelia Ave, Chicago, IL 60618-5606 | 2006-12-29 |
| 1811920747 | Michael A Devito | Podiatrist | 10255 Southwest Hwy, Chicago Ridge, IL 60415-1350 | 2006-07-07 |
| 1598294381 | Michael Devito | Physical Therapy Assistant | 411 State Route 17m, Monroe, NY 10950-4123 | 2017-06-06 |
| 1649463688 | Michael Devito | Dentist | 127 W 79th St, Suite 2, New York, NY 10024-6416 | 2007-08-23 |
| 1437165867 | Michael J. Devito | Dentist | 2745 State Road 580, Suite 103, Clearwater, FL 33761-3359 | 2006-07-31 |
| Street Address |
6 EXECUTIVE PARK DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-3791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891847 | John Cevera | Specialist | 6 Executive Park Dr, Entr C, Albany, NY 12203-3791 | 2005-12-14 |
| 1225540248 | Mark Brian Friedman, Dpm, Pllc | Podiatrist | 6 Executive Park Dr, Albany, NY 12203-3791 | 2017-10-31 |
| 1740705326 | Kelly Erin Cavanaugh | Audiologist | 6 Executive Park Dr, Albany, NY 12203-3791 | 2017-08-04 |
| 1902350028 | Kimberly Ringie | Audiologist | 6 Executive Park Dr, Albany, NY 12203-3791 | 2016-08-05 |
| 1073974176 | Julie Spear Scherer | Nurse Practitioner | 6 Executive Park Dr, Albany, NY 12203-3791 | 2016-03-16 |
| 1558720870 | Morgan Hebert | Podiatrist | 6 Executive Park Dr, Albany, NY 12203-3791 | 2016-02-15 |
| 1306231600 | Joseph Park | Podiatrist | 6 Executive Park Dr, Albany, NY 12203 | 2015-04-02 |
| 1013182617 | Susan Rest | Audiologist | 6 Executive Park Dr, Albany, NY 12203-3791 | 2008-04-24 |
| 1376717306 | Julie Corinne Hanson | Audiologist | 6 Executive Park Dr, Albany, NY 12203-3791 | 2008-04-22 |
| 1477726560 | Jamie L Leichter | Audiologist | 6 Executive Park Dr, Albany, NY 12203-3791 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114428141 | Johnae Patrice Galloway | Specialist | 600 New Scotland Ave, Albany, NY 12208-1928 | 2018-02-25 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1457703217 | Rebecca Burke | Specialist | 113 Krumkill Rd, Albany, NY 12208-1249 | 2016-07-05 |
| 1639535933 | Emily Soule | Specialist | 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 | 2016-01-04 |
| 1891163903 | Anca Rabinowitz | Specialist | 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 | 2015-09-04 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1700226792 | Jeffrey Sansobrino | Specialist | 1 Rapp Rd # 1, Albany, NY 12203-4491 | 2013-07-05 |
| 1306186739 | Kate Ireland Panza | Specialist | 29 Krug Ct, Albany, NY 12211-1914 | 2013-02-21 |
| 1992045470 | Maryjo Aidala | Specialist | 1658 Central Ave, Albany, NY 12205-4029 | 2013-02-21 |
| Find all providers in ALBANY | ||||
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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.