Joseph a. Digiovanna & Michael J. Digiovanna,D.O.,P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1753621 Issued in NY

Legal business name

JOSEPH A. DIGIOVANNA & MICHAEL J. DIGIOVANNA,D.O.,P.C.

Practice address

1061 N Broadway
North Massapequa, NY 11758-1802

Phone

(516) 420-4300

Fax

(516) 420-0730

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Michael Joseph Digiovanna, D.O.

Title

Owner

Phone

(516) 420-4300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063424851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N BROADWAY",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581802",
            "telephone_number": "516-420-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N BROADWAY",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581802",
            "telephone_number": "516-420-4300",
            "fax_number": "516-420-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. DIGIOVANNA & MICHAEL J. DIGIOVANNA,D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIGIOVANNA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-420-4300",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1753621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in North Massapequa, NY
• Providers in North Massapequa, NY by specialty
• Internal Medicine Physician in New York

• 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.