Organization Active NPI

Massimo Degiarde, MDPC

  • Methadone Clinic
  • New York, NY
National Provider Identifier
1427348804
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
100710386 Issued in NY
Legal business name
MASSIMO DEGIARDE, MDPC
Practice address
233 Lafayette St
New York, NY 10012-4051
Phone
(212) 431-6177
Fax
(212) 966-7160
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Dr. Massimo Degiarde, M.D.
Title
Medical Director
Phone
(212) 966-7193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 100710386 NY Primary

Addresses

Primary practice location

233 Lafayette St
New York, NY 10012-4051

Mailing address

233 Lafayette Street
New York, NY 10012-4051
Phone (212) 431-6177

Other identifiers 1

IdentifierTypeStateIssuer
00166849MedicaidNY

Other names 1

  • Lafayette Medical Approach Other name

National Provider Directory

National Provider Directory
Tax ID family
Lafayette Medical Approach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1427348804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LAFAYETTE STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124051",
            "telephone_number": "212-431-6177",
            "fax_number": "212-966-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LAFAYETTE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124051",
            "telephone_number": "212-431-6177",
            "fax_number": "212-966-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSIMO DEGIARDE, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "DEGIARDE",
        "authorized_official_first_name": "MASSIMO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-966-7193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NY",
            "license": "100710386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00166849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Medical Approach",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 19, 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.