Individual provider Active NPI

Efthalia Dennise Piacquadio, MSED

  • Specialist
  • Merrick, NY
National Provider Identifier
1013279041
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
669832 Issued in NY
Practice address
1625 Foxglove Rd
Merrick, NY 11566-1103
Phone
(516) 489-2689
Fax
(516) 489-2689
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 669832 NY Primary
Specialist 174400000X 417451101 NY

Addresses

Primary practice location

1625 Foxglove Rd
Merrick, NY 11566-1103

Mailing address

1625 Foxglove Rd
Merrick, NY 11566-1103
Phone (516) 489-2689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
417451101NYMDSpecialist
669832NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Efthalia Piacquadio Licensed Behavior Analyst PC CurrentSince Nov 9, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1013279041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 FOXGLOVE RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661103",
            "telephone_number": "516-489-2689",
            "fax_number": "516-489-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 FOXGLOVE RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661103",
            "telephone_number": "516-489-2689",
            "fax_number": "516-489-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIACQUADIO",
        "first_name": "EFTHALIA",
        "middle_name": "DENNISE",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "669832",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "417451101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.