Dana Nichole Desiderio, EDUCATOR

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

3 Greenhills Rd
Huntington Station, NY 11746-3905

Phone

(631) 351-1111

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dana Nichole D'Amore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1114440716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CHERYL DR",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794350",
            "telephone_number": "631-834-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GREENHILLS RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463905",
            "telephone_number": "631-351-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIDERIO",
        "first_name": "DANA",
        "middle_name": "NICHOLE",
        "credential": "EDUCATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATOR",
            "identifier": "1849788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "D'AMORE",
            "middle_name": "NICHOLE",
            "credential": "EDUCATOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cindy Dempsey, BCBA
• Barbara C Denicola, MS CCC/SLP
• Akiva Dennis
• Elana Denrich, RPH
• Liberato Derosa, C.A.S.A.C.
• Preethi Udupi Dhawan
• Diamond Vision Inc.
• Chelsea Diamond, DMD
• Mary F. Didio, D.C.
• Melissa Nicole Dietz, RD, CDN, CDE

• Specialist in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.