Individual provider Active NPI

Richard J. D'Amico, D.O.

  • Family Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1144366311
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228208 Issued in NY
Practice address
74 Margaret St
Plattsburgh, NY 12901-2925
Phone
(518) 324-3074
Fax
(518) 324-3077
NPI assigned
Jan 29, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 228208 NY Primary

Addresses

Primary practice location

74 Margaret St
Plattsburgh, NY 12901-2925

Mailing address

74 Margaret St
Plattsburgh, NY 12901-2925
Phone (917) 596-5070

Other practice location 1

210 Cornelia St
Ste 305
Plattsburgh, NY 12901-2318
Phone (518) 562-7484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001640 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1153313309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plattsburgh Medical Care PLLCGroup PAC ID 8729088430, 9 clinicians

Practice addresses (Care Compare)

675 State Route 3
Plattsburgh, NY 12901-6562
Phone (518) 566-0672

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Urgent Care, PLLC CurrentSince Sep 5, 2016 Accepting new patients
In Health Family Medicine PC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients

Locations

833 Manhattan Ave
Brooklyn, NY 11222
Phone (347) 987-4040

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

74 Margaret St
Plattsburgh, NY 12901
Phone (518) 324-3074

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144366311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012925",
            "telephone_number": "917-596-5070",
            "fax_number": "518-324-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012925",
            "telephone_number": "518-324-3074",
            "fax_number": "518-324-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Cornelia St",
            "address_2": "STE 305",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129012318",
            "country_code": "US",
            "telephone_number": "518-562-7484",
            "fax_number": "518-562-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.