Active NPI
Dean K Monitto, DACM, LAC.
- Acupuncturist
- Commack, NY
National Provider Identifier
1306986856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004643-01
- Practice address
- 6165 Jericho Turnpike
2ND Floor
Commack, NY 11725 - Phone
- (631) 352-2051
- Fax
- (631) 982-4729
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP1836 | FL | |
| Acupuncturist | 171100000X | 004643-01 | NY | Primary |
Addresses
Primary practice location
6165 Jericho Turnpike
2ND Floor
Commack, NY 11725
Mailing address
6165 Jericho Turnpike
2ND Floor
Commack, NY 11725
Phone (631) 352-2051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1836 | FL | MD | Acupuncturist |
| 004643-01 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Life Wellness Acupuncture & Physical Therapy PLLC | Acupuncturist | Current | Accepting new patients |
| Pure Life Acupuncture PC | Acupuncturist | Current | Accepting new patients |
Locations
8 Veterans Memorial Hwy
Ste A
Commack, NY 11725
Phone (631) 352-2051
6165 Jericho Tpke
Fl 2
Commack, NY 11725
Phone (631) 352-2051
8 Veterans Memorial Hwy
Commack, NY 11725
Phone (631) 352-2051
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Commack, NY
- NPI 1528878048
-
- Acupuncturist
- Commack, NY
- NPI 1538036173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1306986856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6165 JERICHO TURNPIKE",
"address_2": "2ND FLOOR",
"city": "COMMACK",
"state": "NY",
"postal_code": "11725",
"telephone_number": "631-352-2051",
"fax_number": "631-982-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6165 JERICHO TURNPIKE",
"address_2": "2ND FLOOR",
"city": "COMMACK",
"state": "NY",
"postal_code": "11725",
"telephone_number": "631-352-2051",
"fax_number": "631-982-4729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONITTO",
"first_name": "DEAN",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "DACM, LAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP1836",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004643-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.