Michael Desposito, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

172535 Issued in NY

Practice address

121 East Northport Road
Kings Park, NY 11754-2513

Phone

(631) 269-1148

Fax

(631) 269-1149

NPI assigned

Jan 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508917287",
    "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": "117542513",
            "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": "117542513",
            "telephone_number": "631-269-1148",
            "fax_number": "631-269-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPOSITO",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01207890",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Michelle Daddino, RN
• Victoria Rose Deleo
• Elizabeth Ann Della Valle, MA CCC SLP
• Jenny Anne Delorenzo, RN, AGNP
• Dawn Marie Desaro, MAED
• Melissa Dicaro, MS, BC-DMT, LCAT
• Aurora Dolan, PHARMD
• Carly Donohue, LPN
• Michelle Duignan
• Robert Francis Dussel, RN

• 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 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.