Nicole Jessica Depinto

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

19 Croyden Dr
Massapequa, NY 11758-6141

Phone

(516) 319-3352

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Nicole Jessica Facchini Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1558866582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CROYDEN DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586141",
            "telephone_number": "516-319-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CROYDEN DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586141",
            "telephone_number": "516-319-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPINTO",
        "first_name": "NICOLE",
        "middle_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FACCHINI",
            "middle_name": "JESSICA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Denmark, ATC
• Dennis M Kesden MD & Sherry H Kesden MD PC
• Patricia M Depalma, SLP
• Susan Depalo, PT
• Patricia Depinho, RYT
• Paul Dequillfeldt, ATC
• Donna Marie Desena, OTR/L
• Puja Vilas Deshpande, PHARM D
• Flore Bertura Dessappe
• Magalie Desulme, LPN

• Early Intervention Provider Agency in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.