Deanna Rose Sparaco, RN FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342390 Issued in NY

Practice address

157 E Woodside Ave
Patchogue, NY 11772-1421

Phone

(631) 475-1900

NPI assigned

Jul 24, 2018

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

Electronic endpoints 1

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

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: ddonohue267130@nyumc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• New York University

  dba NYU Langone Ambulatory Care Chelsea

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1699252429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E WOODSIDE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721421",
            "telephone_number": "631-475-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E WOODSIDE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721421",
            "telephone_number": "631-475-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACO",
        "first_name": "DEANNA",
        "middle_name": "ROSE",
        "credential": "RN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddonohue267130@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "157 E Woodside Ave",
            "city": "Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117721421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• South Shore Neurologic Associates PC (Brookhaven MRI)
• South Shore Neurologic Associates, PC
• South Shore Speech Pathology
• Joseph P Souza
• Jennifer Nicole Spadavecchia, PHARM.D.
• Annamaria Spera, LMSW
• Anthony P Spera, MD
• Gina Kathleen Spera, RN
• Stephen M Speregon
• Joann T Spinnato, PNP

• Family Nurse Practitioner in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.