Michael Desposito MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MICHAEL DESPOSITO MD

Practice address

121 East Northport Road
Kings Park, NY 11754

Phone

(631) 269-1148

Fax

(631) 269-1149

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Michael Desposito, MD

Title

MD

Phone

(631) 269-1148

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1417008194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EAST NORTHPORT ROAD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "11754",
            "telephone_number": "631-269-1148",
            "fax_number": "631-269-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EAST NORTHPORT ROAD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "11754",
            "telephone_number": "631-269-1148",
            "fax_number": "631-269-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DESPOSITO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "DESPOSITO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-269-1148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M. McTiernan, MS SPED
• Elizabeth Meak, RN
• Fatima Mehmood
• Sophia Mellace
• Sunni Mendell, OTR/L
• Michael J Sredniawski, DC, PC
• Elissa Miller
• Christina Minervini-Bertin
• Andre Misso, LAC
• ML Wellness Medical PLLC

• Internal Medicine Physician in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.