Thomas Joseph Giannattasio Sr., MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

139936 Issued in NY

Practice address

1130 Park Boulevard
Massapequa Park, NY 11762

Phone

(516) 541-6584

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154497899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PARK BOULEVARD",
            "address_2": "THOMAS GIANNATTASIO",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-541-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PARK BOULEVARD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-541-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNATTASIO",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "139936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Gariglio, ATHLETIC TRAINER
• Susan Gelbman, LMT
• Genovese Drug Stores Inc
• Gervasio & Marchese LLP
• Katrina Giacchino
• Stephanie Gillespie, OTR/L
• Corinne A Giuliani, LCSW
• Jessica Giuntini, RN
• GN Audiology PLLC
• Michele Gogliucci, LCSW

• Pediatrics Physician in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.