Individual provider Active NPI

Dominic Ferranola, PA-C

  • Physician Assistant
  • Massapequa, NY
National Provider Identifier
1487466587
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4410 Sunrise Hwy
Massapequa, NY 11758-5346
Phone
(516) 509-6056
NPI assigned
Jan 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

4410 Sunrise Hwy
Massapequa, NY 11758-5346

Mailing address

225 Eastview Dr
Central Islip, NY 11722-4539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506002318 NY Practitioner - Physician Assistant 9234656901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

1150 3Rd Ave
New York, NY 10065-5913
Phone (212) 933-0007

138 Delancey St
New York, NY 10002-3325
Phone (212) 609-2541

138 Fulton St
New York, NY 10038-2521
Phone (212) 271-4896

14 W 14TH St
New York, NY 10011-7524
Phone (212) 390-0558

1989 Merrick Rd
Merrick, NY 11566-4643
Phone (516) 584-4448

2025 Broadway
New York, NY 10023-5016
Phone (212) 390-8812

216 E 14TH St
New York, NY 10003-4105

235 Glen Cove Rd
Carle Place, NY 11514-1221
Phone (516) 877-2273

292 Herricks Rd
Mineola, NY 11501-1119
Phone (516) 746-2273

30 Franklin Ave
Franklin Square, NY 11010-2527
Phone (516) 352-0253

315 W 57TH St
New York, NY 10019-3158
Phone (212) 315-2330

3276 Hempstead Tpke
Levittown, NY 11756-1345
Phone (516) 796-2273

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

37 W 23Rd St
New York, NY 10010-5389
Phone (646) 596-9267

400 W 23Rd St
New York, NY 10011-2122
Phone (929) 476-0462

560 Merrick Rd
Rockville Centre, NY 11570-5445
Phone (516) 858-2373

561 3Rd Ave
New York, NY 10016-3109
Phone (212) 729-4668

585 Merrick Rd
Lynbrook, NY 11563-2311
Phone (516) 764-2273

654 Broadway
New York, NY 10012-2327
Phone (646) 647-1251

87 Chambers St
New York, NY 10007-1805
Phone (212) 335-0594

944 2ND Ave
New York, NY 10022-7805
Phone (212) 271-4864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Apr 7, 2025 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Apr 7, 2025 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

4410 Sunrise Hwy
Massapequa, NY 11758
Phone (212) 913-0828

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: dominic.ferranola.1@2983.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1487466587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EASTVIEW DR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585346",
            "telephone_number": "516-509-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRANOLA",
        "first_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.