Organization Active NPI

Marie Elena Dragonetti DO PC

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1033396254
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217103 Issued in NY
Legal business name
MARIE ELENA DRAGONETTI DO PC
Practice address
1300 Union Tpke
Suite 207
New Hyde Park, NY 11040-1759
Phone
(516) 488-3100
Fax
(516) 488-3110
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Gloria Kelly
Title
Office Manager
Phone
(516) 488-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 217103 NY Primary

Addresses

Primary practice location

1300 Union Tpke
Suite 207
New Hyde Park, NY 11040-1759

Mailing address

1300 Union Tpke
Suite 207
New Hyde Park, NY 11040-1759
Phone (516) 488-3100

National Provider Directory

National Provider Directory

Locations

1300 Union Tpke
Ste 207
New Hyde Park, NY 11040
Phone (516) 488-3100

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1033396254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE",
            "address_2": "SUITE 207",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401759",
            "telephone_number": "516-488-3100",
            "fax_number": "516-488-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE",
            "address_2": "SUITE 207",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401759",
            "telephone_number": "516-488-3100",
            "fax_number": "516-488-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE ELENA DRAGONETTI DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-488-3100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.