Active NPI
Joseph Salvatore Devito, M.D.
- Internal Medicine Physician
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 166535
- Practice address
- 930 N Broadway
Massapequa, NY 11758-2303 - Phone
- (516) 797-7474
- Fax
- (516) 795-7919
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 166535 | NY | Primary |
Addresses
Primary practice location
930 N Broadway
Massapequa, NY 11758-2303
Mailing address
930 N Broadway
Massapequa, NY 11758-2303
Phone (516) 797-7474
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018230 | Other | NY | GHI PROVIDER NUMBER |
| 0490220 | Other | NY | US HEALTH CARE |
| 11369 | Other | NY | VYTRA HEALTH PLANS |
| 01208584 | Medicaid | NY | |
| 431596N | Other | NY | CIGNA |
| AP537 | Other | NY | OXFORD HEALTH PLANS |
| AG4773 | Other | NM | AETNA |
| 166535-1 | Other | NY | HIP |
| 2C5778 | Other | NY | HEALTHNET |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166535 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Medical Associates, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Internal Medicine | Current | Accepting new patients |
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients |
Locations
3231 E Tremont Ave
Bronx, NY 10461
Phone (718) 597-5800
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626
808 Hicksville Rd
#A
Massapequa, NY 11758
Phone (516) 597-4242
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Organizations & group practices 6
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.
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Cardiovascular Disease Physician
- Massapequa, NY
- NPI 1992048342
Internal Medicine
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558337360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 N BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582303",
"telephone_number": "516-797-7474",
"fax_number": "516-795-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 N BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582303",
"telephone_number": "516-797-7474",
"fax_number": "516-795-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVITO",
"first_name": "JOSEPH",
"middle_name": "SALVATORE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "166535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "0018230",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH CARE",
"identifier": "0490220",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA HEALTH PLANS",
"identifier": "11369",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01208584",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "431596N",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "AP537",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "AG4773",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "166535-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C5778",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.