Organization Active NPI

Dante Trovato MD PC

  • Medical Specialty Clinic/Center
  • Ozone Park, NY
National Provider Identifier
1053564054
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
205724 Issued in NY
Legal business name
DANTE TROVATO MD PC
Practice address
10216 101St Ave
Ozone Park, NY 11416-2622
Phone
(718) 441-4222
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dante Trovato, MDNPI 1801812409
Title
President
Phone
(718) 441-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 205724 NY Primary

Addresses

Primary practice location

10216 101St Ave
Ozone Park, NY 11416-2622

Mailing address

10216 101St Ave
Ozone Park, NY 11416-2622

Other identifiers 1

IdentifierTypeStateIssuer
01925906MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031222000395 NY Part B Supplier - Clinic/Group Practice 4385542869 Receives reassigned benefits from 1 practitioner
Practice locations: Howard Beach, NY; Ozone Park, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

8919 160th Ave
Howard Beach, NY 11414
Phone (718) 441-4222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1053564054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162622",
            "telephone_number": "718-441-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANTE TROVATO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "TROVATO",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-441-4222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "205724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01925906",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.