Michael D'Amato, CNIM, R. EEG T.

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

4720 Issued in NY

Practice address

140 Adams Ave Ste B13
Hauppauge, NY 11788-3618

Phone

(631) 617-6011

NPI assigned

May 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1013581370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 51ST AVE APT 2L",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015821",
            "telephone_number": "347-622-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ADAMS AVE STE B13",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883618",
            "telephone_number": "631-617-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMATO",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CNIM, R. EEG T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "4720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex Ongoco Cruz, LPT
• CS Medical Associates, P.C.
• Leslie Doyle Cunningham, M.D., PH.D.
• Leslie Reid Curran, MA
• D. Goldfarb Psychological Services
• Christopher D'Ambrosio, D.O.
• Camila Da Silva
• Christina Ann Dahl
• Elysse Daley, M.A.
• Dana S Jahn PT PC

• Clinical Neurophysiology Physician in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Clinical Neurophysiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.