Individual provider Active NPI

Joseph R Dmaggio, RPA-C

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1326101320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006098-1 Issued in NY
Practice address
525 East 68TH Street
New York Presbyterian Hospital
New York, NY 10021-4870
Phone
(212) 746-4749
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 006098-1 NY Primary

Addresses

Primary practice location

525 East 68TH Street
New York Presbyterian Hospital
New York, NY 10021-4870

Mailing address

81 Lorna Lane
Suffern, NY 10901-7129
Phone (845) 368-4846

Other identifiers 1

IdentifierTypeStateIssuer
006098-1OtherNYNYS LICENSE REGISTRATION

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

LicenseStateTypeSpecialty
0060981NYMDMental Health Counselor
006098-1NYMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jrd9002@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326101320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 LORNA LANE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017129",
            "telephone_number": "845-368-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EAST 68TH STREET",
            "address_2": "NEW YORK PRESBYTERIAN HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214870",
            "telephone_number": "212-746-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DMAGGIO",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006098-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE REGISTRATION",
            "identifier": "006098-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.