NPIMap

Individual provider Active NPI

Dean Francis Giannone, MD

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1013907245
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214097 Issued in NY
Practice address
4641 Hylan Blvd # B
Staten Island, NY 10312-6405
Phone
(718) 948-6600
Fax
(718) 608-9305
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 214097 NY Primary

Addresses

Primary practice location

4641 Hylan Blvd # B
Staten Island, NY 10312-6405

Mailing address

4641 Hylan Blvd # B
Staten Island, NY 10312-6405
Phone (718) 948-6600

Other identifiers 9

IdentifierTypeStateIssuer
214097B11OtherHEALTH FIRST
P1895667OtherOXFORD
04-07806OtherEVERCARE
2592195OtherGHI
21149216537OtherBEECH STREET
02023669MedicaidNY
34114POtherHIP
88S39OtherEMPIRE BC/BS
203368OtherMAGNACARE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
214097NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Medicine, P.C. PastSince Nov 11, 2009 Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients
Staten Island Hospitalists, PC Internal Medicine Past Accepting new patients
Stephen P Coppa DO PC Internal Medicine Past Accepting new patients
Richard P Carr Physical Therapy Inc Past Accepting new patients

Organizations & group practices 5

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1013907245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 HYLAN BLVD # B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126405",
            "telephone_number": "718-948-6600",
            "fax_number": "718-608-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 HYLAN BLVD # B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126405",
            "telephone_number": "718-948-6600",
            "fax_number": "718-608-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNONE",
        "first_name": "DEAN",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "214097B11",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1895667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "04-07806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2592195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21149216537",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02023669",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "34114P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "88S39",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "203368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.