DANIEL THOMAS IPPOLITO


Address: 77 Medford Ave, Patchogue, NY 11772-1281
Phone: 6316663951

DANIEL THOMAS IPPOLITO (NPI# 1730604752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730604752
Entity Type Individual
Full Name DANIEL THOMAS IPPOLITO
Credential ANP
Practice Address 77 Medford Ave
Patchogue
NY 11772-1281
Mailing Address 712 Main St
Islip
NY 11751-3620
Practice Telephone 6316663951
Practice Fax Number 6317501177
Mailing Telephone 6316663951
Mailing Fax Number 6317501177
Enumeration Date 2017-08-10
Last Update Date 2017-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
308385 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NYS OFFICE OF PROFESSIONS 308385 01

Office Location

Street Address 77 MEDFORD AVE
City PATCHOGUE
State NY
Zip Code 11772-1281

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114900925 Bonnie Rosen Radiology 77 Medford Ave, Patchogue, NY 11772-1281 2005-11-25
1841835808 Brian Connell Physical Therapist 77 Medford Ave, Patchogue, NY 11772-1281 2019-11-14
1518512581 Wendy Doroski Nurse Practitioner 77 Medford Ave, Patchogue, NY 11772-1281 2019-08-07
1861968372 Nicole M Aquino Physical Therapist 77 Medford Ave, Patchogue, NY 11772-1281 2018-10-23
1083195895 Stephanie Lauren Vanschaick Physical Therapist 77 Medford Ave, Patchogue, NY 11772-1281 2018-08-29
1790299196 Christina A Melli Physical Therapist 77 Medford Ave, Patchogue, NY 11772-1281 2017-11-21
1659880474 William Eagen Physical Therapy Assistant 77 Medford Ave, Patchogue, NY 11772-1281 2017-09-25
1417405879 Nicholas J Froiseth Physical Therapist 77 Medford Ave, Patchogue, NY 11772-1281 2016-09-14
1114318219 Justine Hoffmann Physical Therapist 77 Medford Ave, Patchogue, NY 11772-1281 2015-02-10
1437574175 Jenna Joy Kennedy Physical Therapist 77 Medford Ave, Patchogue, NY 11772-1281 2014-03-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205447224 Amita Vipul Patel Nurse Practitioner Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 2020-08-13
1609491968 Sanjib Dey Family Medicine Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 2020-06-12
1992297204 Camila Bueno-sanchez Student in an Organized Health Care Education/Training Program 676 S Country Rd, East Patchogue, NY 11772 2018-06-01
1184115859 Premier Endodontics of Patchogue Dentist 44 Medford Avenue, Patchogue, NY 11772 2018-05-29
1801386453 Franklin Ikechukwu Ugbode Student in an Organized Health Care Education/Training Program 100 Hospital Road Suite 201, Patchogue, NY 11772 2018-05-18
1508372335 Stephanie Vanschaick Counselor 450 Waverly Ave Ste 11, Patchogue, NY 11772 2017-12-15
1578074498 Chrystal Lee Curran Specialist 1116 Main Road, Aquebogue, NY 11772 2017-10-18
1013457712 Candyce Fahner Registered Nurse 22 Haig Ave, E Patchogue, NY 11772 2017-02-28
1992251631 Vanessa Lynn Petoello Nurse Practitioner 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 2016-09-01
1811343809 Andrew Vanderlofske Nurse Practitioner 144 North Ocean Avenue, Patchogue, NY 11772 2016-05-09
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992251631 Vanessa Lynn Petoello Nurse Practitioner 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 2016-09-01
1811343809 Andrew Vanderlofske Nurse Practitioner 144 North Ocean Avenue, Patchogue, NY 11772 2016-05-09
1629491402 Christina Marie Dalrymple Nurse Practitioner 325 E Main St Ste 120, Patchogue, NY 11772-3114 2014-01-29
1942447347 Natalie S Synnott Nurse Practitioner 4 Phyllis Dr Ste C, Patchogue, NY 11772-2900 2009-01-07
1427276914 Christine M Aiello Nurse Practitioner 629 Medford Ave, Suite #1, Patchogue, NY 11772-1335 2007-04-23
1003987637 Linda Belber Nurse Practitioner 68 Washington Ave, Patchogue, NY 11772-2953 2006-11-13
1518512581 Wendy Doroski Nurse Practitioner 77 Medford Ave, Patchogue, NY 11772-1281 2019-08-07
1205489119 Diane Cesario Nurse Practitioner 325 E Main St, Patchogue, NY 11772-3114 2019-07-19
1184162620 Sheryll Baltazar Nurse Practitioner 157 E Woodside Ave, Patchogue, NY 11772-1423 2017-02-04
1942679469 Stephanie Ramdeen Nurse Practitioner 325 E Main St, Suite 120, Patchogue, NY 11772-3114 2015-09-15
Find all providers in PATCHOGUE

Competitor

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City PATCHOGUE
Zip Code 11772

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Dataset Information

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.

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