Dominic A Paciullo

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

537861041 Issued in NY

Practice address

777 Westchester Ave Ste 101
White Plains, NY 10604-3520

Phone

(646) 302-3306

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1548876667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 WATERMELON HILL RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414439",
            "telephone_number": "718-597-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 WESTCHESTER AVE STE 101",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043520",
            "telephone_number": "646-302-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIULLO",
        "first_name": "DOMINIC",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NY",
            "license": "537861041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Belkiz Pacheco
• Lidisbelle Pacheco
• Reshma Pachikara, MD
• Brianna Paci
• Leann Pacicca
• Michael S Padial, MD
• Christie Padikkala
• Justine Pagano, LCSW
• Salvatore Joseph Pagliaro, MD
• Shanita Pahladsingh

• Health Educator in White Plains, NY
• Providers in White Plains, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.