Assunta Divalentino, DO
Individual provider Active NPI Family Medicine Physician · Shoreham, NY
NPI 1730522210 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1730522210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 287066-1 (NY)
- Practice address
- 45 Route 25a
Shoreham, NY 11786-1389 - Phone
- (631) 744-3303
- NPI assigned
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New York University
Practice addresses (Care Compare)
45 Route 25a
Shoreham, NY 11786-1389
Phone (631) 744-3303
Hospital & facility affiliations
- Tender Loving Care, an Amedisys Company
- Peconic Bay Homehealth Services
- Catholic Home Care
- John T Mather Memorial Hospital of Port Jefferson
- Long Island Community Hospital
- Suny/Stony Brook University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171101000638 | NY | Practitioner - Family Practice | 5092081349 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287066-1 | NY | MD | Family Medicine Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients |
Locations
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
45 Route 25A
Shoreham, NY 11786
Phone (631) 744-2288
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 287066-1 | NY | Yes |
Addresses
Primary practice location
45 Route 25a
Shoreham, NY 11786-1389
Mailing address
PO Box 1559
Stony Brook, NY 11790
Phone (530) 219-6268
Other practice location 1
181 N Belle Mead Ave Ste 2
Setauket, NY 11733-3495
Phone (631) 444-5858
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adivalentino494532@nyumc.direct-ci.com |
Other providers in Shoreham, NY
- Allison Desmond
- Jaime Dettleff
- Matthew Dettleff
- Kristin Britt Devall
- Diane Gavares Licensed Clinical Social Worker P.C.
- Diane Mary Dooley
- Amber Leigh Dowd
- Luann Dunbar
- Amanda Esandrio
- Blake Ashley Farnworth
All providers in Shoreham, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.