NPIMap

Individual provider Active NPI

Adam M Carpentieri, DO

  • Adult Medicine Physician
  • Massapequa, NY
National Provider Identifier
1275617193
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
219334 Issued in NY
Practice address
119 New York Avenue
Massapequa, NY 11758-4601
Phone
(516) 799-2555
Fax
(516) 799-2595
NPI assigned
Oct 25, 2006
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 219334 NY Primary

Addresses

Primary practice location

119 New York Avenue
Massapequa, NY 11758-4601

Mailing address

119 New York Avenue
Massapequa, NY 11758-4601
Phone (516) 799-2555

Other identifiers 1

IdentifierTypeStateIssuer
02460204MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000774 NY Practitioner - Family Practice 2961526496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mauro Gasparini MD PCGroup PAC ID 1456432400, 3 clinicians

Practice addresses (Care Compare)

119 New York Ave
Massapequa, NY 11758-4601
Phone (516) 799-2555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mauro Gasparini, M.D., P.C. CurrentSince Jul 6, 2010 Accepting new patients
Massapequa Center LLC Past Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients
Mark Gasparini, D.P.M. P.C. PastSince Dec 16, 2013 Accepting new patients

Locations

119 New York Ave
Massapequa, NY 11758
Phone (516) 799-2555

Interoperability endpoints

  • Direct secure messaging: adam.carpentieri.1@10566.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10566/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 10

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1275617193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NEW YORK AVENUE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584601",
            "telephone_number": "516-799-2555",
            "fax_number": "516-799-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEW YORK AVENUE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584601",
            "telephone_number": "516-799-2555",
            "fax_number": "516-799-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTIERI",
        "first_name": "ADAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "219334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02460204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.