Individual provider Active NPI

Patricia Dellatto, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wantagh, NY
National Provider Identifier
1609817279
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403442 Issued in NY
Practice address
1716 Auburn Rd
Wantagh, NY 11793-3513
Phone
(516) 567-2412
Fax
(516) 783-0984
NPI assigned
Jun 8, 2006
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334081 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403442 NY Primary

Addresses

Primary practice location

1716 Auburn Rd
Wantagh, NY 11793-3513

Mailing address

1716 Auburn Rd
Wantagh, NY 11793-3513
Phone (516) 567-2412

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000713 NY Practitioner - Nurse Practitioner 3274625637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1716 Auburn Rd
Wantagh, NY 11793-3513
Phone (516) 783-0984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
403442NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your NP in Family Health, P.C. Family CurrentSince Apr 30, 2003 Accepting new patients
Park Lenox Medical, PC Past Accepting new patients

Locations

30 Newbridge Rd
Ste LL1
East Meadow, NY 11554
Phone (516) 307-0960

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1609817279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 AUBURN RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933513",
            "telephone_number": "516-567-2412",
            "fax_number": "516-783-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 AUBURN RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933513",
            "telephone_number": "516-567-2412",
            "fax_number": "516-783-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLATTO",
        "first_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334081",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.