Active NPI
Dante Trovato MD PC
- Medical Specialty Clinic/Center
- Ozone Park, NY
National Provider Identifier
1053564054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 205724
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dante Trovato, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01925906 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Ozone Park, NY
- NPI 1801812409
4385542869
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Ozone Park, NY
- NPI 1801812409
-
- Anesthesiology Physician
- Flushing, NY
- NPI 1285677674
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.