Victoria Damico, CNP, RN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

309609 Issued in NY

Practice address

492 Richard Ave
Staten Island, NY 10309-3816

Phone

(347) 206-4772

NPI assigned

Sep 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria Pirrello Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Gramercy Pain Center LLC

  • Interventional Pain Medicine Physician
  • Holmdel, NJ
  • NPI 1902125370
  Medicare reassignment NPD

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1669142287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 RICHARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093816",
            "telephone_number": "347-206-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 RICHARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093816",
            "telephone_number": "347-206-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "CNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "PIRRELLO",
            "credential": "CNP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Lynn Damato
• Chrissy Damiano
• John A Damiano, DDS
• Damico LCSW & Associates PLLC
• Stacie Damico, MSED
• Alexa Nicole Damon
• Andrea Damon
• Barbara A Damora
• Briana Damora, FNP
• Gardenia Gloria Danao-Villamor, PT

• Adult Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.