Raymond Rocco Magliulo, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

183013 Issued in NY

Practice address

245 W Main St
Bay Shore, NY 11706-8323

Phone

(631) 969-0000

Fax

(631) 969-1094

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487737516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068323",
            "telephone_number": "631-969-0000",
            "fax_number": "631-969-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068323",
            "telephone_number": "631-969-0000",
            "fax_number": "631-969-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIULO",
        "first_name": "RAYMOND",
        "middle_name": "ROCCO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "183013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Leigh Lyver, PMHNP
• Elmer P Mabeza, RPT
• Kyla Mackay
• Madison Dental Management Associates LLC
• Diane Hilde Magliulo, DO
• Sheena Mahabeer, PHYSICIAN ASSISTANT
• Rose Marie Mahan
• Faria Mahjabin, MD
• Eileen Mahon, LMSW
• Scott Maiman

• Adult Medicine Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Adult Medicine Physician in New York

• 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.