Dawn Marie Cimaglia

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

462148041 Issued in NY

Practice address

3 Marshmellow Dr
Commack, NY 11725-1018

Phone

(631) 368-3165

NPI assigned

Sep 22, 2015

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

• Dawn Marie Detjen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1629447404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARSHMELLOW DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251018",
            "telephone_number": "631-368-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MARSHMELLOW DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251018",
            "telephone_number": "631-368-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMAGLIA",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "462148041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "DETJEN",
            "middle_name": "MARIE",
            "credential": "M.A., TSHH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oleksandra Chumak, LMHC
• Ivy D Chung, M.D.
• Maryann Ciccarelli, MSW
• Miriam A Cidoni, MSW, LCSW
• Justine Alexa Ciesinski
• Alina C Ciobanu, M.D.
• City Medical of Upper East Side, PLLC
• Laura E Clarizio, LMHC
• Karyn Clarke, OTRL
• Rebecca Claudio-Morales, RPA-C

• Early Intervention Provider Agency in Commack, NY
• Providers in Commack, 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 Sep 22, 2015; 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.