Organization Active NPI

Dongan Hills Medical Practice,PLLC

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1033287321
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DONGAN HILLS MEDICAL PRACTICE,PLLC
Practice address
1487 Richmond Rd
Staten Island, NY 10304-2311
Phone
(718) 979-3643
Fax
(718) 987-2655
NPI assigned
Dec 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Vincent Savino, 202245
Title
Owner
Phone
(718) 979-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1487 Richmond Rd
Staten Island, NY 10304-2311

Mailing address

1487 Richmond Rd
Staten Island, NY 10304-2311
Phone (718) 979-3643

Other identifiers 1

IdentifierTypeStateIssuer
01704672MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033287321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042311",
            "telephone_number": "718-979-3643",
            "fax_number": "718-987-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042311",
            "telephone_number": "718-979-3643",
            "fax_number": "718-987-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONGAN HILLS MEDICAL PRACTICE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAVINO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-979-3643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "202245"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01704672",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.