Edmund Salvatore Ippolito

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

70 Corbin Ave
Suite I
Bay Shore, NY 11706-1039

Phone

(631) 392-4050

NPI assigned

Feb 25, 2011

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

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": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1275830317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CORBIN AVE",
            "address_2": "SUITE I",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061039",
            "telephone_number": "631-392-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CORBIN AVE",
            "address_2": "SUITE I",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061039",
            "telephone_number": "631-392-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "EDMUND",
        "middle_name": "SALVATORE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony C Innamorato, D.P.M.
• Daphnee Innocent, LPN
• Marie Innocent
• Roxanna Insaidoo, REGISTERED PROFESSIO
• Nicoleta Ionica, MD
• Abbas Ali Iqbal
• Craig Irby I
• Tochi Iroku-Malize, MD
• Miriam Isaacs, RN
• Shon Anthony Isaacs Jr.

• Home Modifications Contractor in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Home Modifications Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.