Organization Active NPI

Joann Spinnato Pediatric NP PLLC

  • Pediatrics Physician
  • Patchogue, NY
National Provider Identifier
1720609035
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JOANN SPINNATO PEDIATRIC NP PLLC
Practice address
101 Gillette Ave
Patchogue, NY 11772-2514
Phone
(631) 790-3413
Fax
(631) 438-0303
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Joann Theresa Spinnato, NPNPI 1124291083
Title
Owner
Phone
(631) 790-3413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

101 Gillette Ave
Patchogue, NY 11772-2514

Mailing address

101 Gillette Ave
Patchogue, NY 11772-2514
Phone (631) 790-3413

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2219012Joann Spinnato Pediatric NP PLLC101 Gillette Ave, Patchogue, NY 11772Provider-performed microscopyMar 31, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1720609035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GILLETTE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722514",
            "telephone_number": "631-790-3413",
            "fax_number": "631-438-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GILLETTE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722514",
            "telephone_number": "631-790-3413",
            "fax_number": "631-438-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANN SPINNATO PEDIATRIC NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "SPINNATO",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-790-3413",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.