Massimo Degiarde, M.D.,P.C.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

070710386 Issued in NY

Legal business name

MASSIMO DEGIARDE, M.D.,P.C.

Doing business as

Lafayette Medical Approach

Practice address

233 Lafayette St
New York, NY 10012-4051

Phone

(212) 431-6177

Fax

(212) 966-7160

NPI assigned

Nov 28, 2006

Last updated

Dec 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Hudson, J.D.

Title

Administrator

Phone

(212) 966-7193

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lafayette Medical Approach Doing business as

Tax ID family

Lafayette Medical Approach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Massimo Degiarde, MDPC

  • Methadone Clinic
  • New York, NY
  • NPI 1427348804
  NPD tax ID

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1215003629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LAFAYETTE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124051",
            "telephone_number": "212-431-6177",
            "fax_number": "212-966-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LAFAYETTE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124051",
            "telephone_number": "212-431-6177",
            "fax_number": "212-966-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSIMO DEGIARDE, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-966-7193",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "070710386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00166849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Medical Approach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ered Lynden Massie, LCSW
• Mary Jane Massie, MD
• Nora Massie
• Massielle Morales-Miller LCSW PLLC
• Robert Massimi Jr., DDS
• Massimo Degiarde, MDPC
• January Massin, PH.D.
• Francis J Massino, PH.D
• Sonia Yadira Massol-Burris, DMD
• Geema Masson, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.