Ethan Dipasquale

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

76 S Whittlesey Ave
Floor 2
Wallingford, CT 06492-4177

Phone

(813) 675-7777

NPI assigned

Dec 26, 2024

Sex

Male

Sole proprietor

Yes

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": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1437967239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 S WHITTLESEY AVE",
            "address_2": "FLOOR 2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S WHITTLESEY AVE",
            "address_2": "FLOOR 2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924177",
            "telephone_number": "813-675-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPASQUALE",
        "first_name": "ETHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanna Diana, SLP
• Soheila Dickerson
• Lauren Dieterle
• Kristin Johnson Dinatale, PSY.D.
• John Dinkler, MD
• Claudia Doan, M.S., CCC-SLP
• Doc Nutrition Clinic
• Docaxt, Inc
• Santosh Doddamane, DO
• Hannah Donadio

• Electroneurodiagnostic Specialist/Technologist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Electroneurodiagnostic Specialist/Technologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.