Michael John D'Arienzo

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1096092 Issued in NY

Practice address

69 Grant Ave
Islip, NY 11751-3504

Phone

(631) 682-9462

NPI assigned

May 23, 2016

Last updated

May 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1114374808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GRANT AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513504",
            "telephone_number": "631-682-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GRANT AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513504",
            "telephone_number": "631-682-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ARIENZO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1096092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Peterson Creed, MD
• Crossroads Physical Therapy
• Maggie Anne Cullen, OTR/L
• Lisamarie Curley, OT
• Andrea C Cuttler
• Nirmala Amelia D'Auguste Dejesus, MD
• Nicholas D'Auria, LMT
• Nicholas Dabrowski, DPT
• David Negron DPM PC
• Jessica Davis, MA, LMHC

• Early Intervention Provider Agency in Islip, NY
• Providers in Islip, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.