Active NPI
Dana Anne Vecchio, NP
- Nurse Practitioner
- East Patchogue, NY
National Provider Identifier
1083809222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F381728-1
- Practice address
- 264 Sills Rd
East Patchogue, NY 11772-8804 - Phone
- (631) 504-6261
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F381728-1 | NY | Primary |
Addresses
Primary practice location
264 Sills Rd
East Patchogue, NY 11772-8804
Mailing address
264 Sills Rd
East Patchogue, NY 11772-8804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F381728-1 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Children'S Service, University Faculty Practice Corporatio | Past | Accepting new patients | |
| Patchogue Pediatrics PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- East Patchogue, NY
- NPI 1396178000
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1083809222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 SILLS RD",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 SILLS RD",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728804",
"telephone_number": "631-504-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VECCHIO",
"first_name": "DANA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F381728-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.