Dominic Cotumaccio, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

81 N Broadway
Hicksville, NY 11801-2920

Phone

(516) 933-4350

Fax

(516) 933-4352

NPI assigned

Aug 23, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: dcotumaccio689044@nyumc.direct-ci.com
• Direct secure messaging: dominic.cotumaccio@1056.chartlogic.direct-ci.com

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.

• Richard S. Obedian MD PLLC

  • Orthopaedic Surgery Physician
  • Hicksville, NY
  • NPI 1386886984
  Medicare reassignment

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1619700770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012920",
            "telephone_number": "516-933-4350",
            "fax_number": "516-933-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012920",
            "telephone_number": "516-933-4350",
            "fax_number": "516-933-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTUMACCIO",
        "first_name": "DOMINIC",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yermin Cortorreal, COTA
• Samantha Nicole Coscia, MSW
• Alba Costa, RN
• Kathryn Costidis, MHC
• Cottage Homecare, Services, Inc
• Durkin Shane Coughlan
• Cynthia Cox
• Mary Patricia Cox, LMSW
• Samiya Toni-Ann Cox
• Stacyann Cox, NURSE PRACTITIONER

• Medical Physician Assistant in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.

Verify at the official NPI Registry.