Organization Active NPI

Francis J Dipalo DO PC

  • Pulmonary Disease Physician
  • Smithtown, NY
National Provider Identifier
1619165859
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2194531 Issued in NY
Legal business name
FRANCIS J DIPALO DO PC
Practice address
200 E Main St
Suite 2 East
Smithtown, NY 11787-2878
Phone
(631) 265-0266
NPI assigned
Oct 12, 2007
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mrs. Patricia Dipalo
Title
Office Manager
Phone
(631) 265-0266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2194531 NY Primary

Addresses

Primary practice location

200 E Main St
Suite 2 East
Smithtown, NY 11787-2878

Mailing address

200 E Main St
Suite 2 East
Smithtown, NY 11787-2878
Phone (631) 265-0266

Other identifiers 3

IdentifierTypeStateIssuer
H34861OtherUPIN
WEP831OtherNYMEDICARE
02172750MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707000601 NY Part B Supplier - Clinic/Group Practice 1052398088 Receives reassigned benefits from 1 practitioner
Practice locations: Smithtown, NY

National Provider Directory

National Provider Directory

Locations

200 E Main St
Ste 2E
Smithtown, NY 11787
Phone (631) 265-0266

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1619165859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "address_2": "SUITE 2 EAST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872878",
            "telephone_number": "631-265-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "address_2": "SUITE 2 EAST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872878",
            "telephone_number": "631-265-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCIS J DIPALO DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "DIPALO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-265-0266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "2194531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H34861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WEP831",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02172750",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.