Individual provider Active NPI

Donna Jean Degregorio, RPAC

  • Medical Physician Assistant
  • Amityville, NY
National Provider Identifier
1639189723
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0052301 Issued in NY
Practice address
1080 Sunrise Hwy
Maxine S Postal Tricommunity Health Center
Amityville, NY 11701
Phone
(631) 854-1008
Fax
(631) 854-1031
NPI assigned
Aug 9, 2006
Last updated
Jan 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0052301 NY Primary

Addresses

Primary practice location

1080 Sunrise Hwy
Maxine S Postal Tricommunity Health Center
Amityville, NY 11701

Mailing address

1080 Sunrise Hwy
Maxine S Postal Tricommunity Health Center
Amityville, NY 11701
Phone (631) 854-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0052301NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1639189723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SUNRISE HWY",
            "address_2": "MAXINE S POSTAL TRICOMMUNITY HEALTH CENTER",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-854-1008",
            "fax_number": "631-854-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SUNRISE HWY",
            "address_2": "MAXINE S POSTAL TRICOMMUNITY HEALTH CENTER",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-854-1008",
            "fax_number": "631-854-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREGORIO",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0052301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.