Individual provider Active NPI

Joseph Salvatore Devito, M.D.

  • Internal Medicine Physician
  • Massapequa, NY
National Provider Identifier
1558337360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
166535 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0018230OtherNYGHI PROVIDER NUMBER
0490220OtherNYUS HEALTH CARE
11369OtherNYVYTRA HEALTH PLANS
01208584MedicaidNY
431596NOtherNYCIGNA
AP537OtherNYOXFORD HEALTH PLANS
AG4773OtherNMAETNA
166535-1OtherNYHIP
2C5778OtherNYHEALTHNET

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000335 NY Practitioner - Internal Medicine 1557556578 Reassigns benefits to 3 organizations
Practice locations: Massapequa, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
166535NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Dec 1, 2017 Accepting new patients
CHS Physician Partners, P.C CurrentSince Dec 23, 2019 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, PC Internal Medicine CurrentSince Dec 23, 2019 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Dec 1, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 1, 2017 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.

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

Verify at the official NPI Registry.