Daniel Thomas Ippolito, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308385 Issued in NY

Practice address

77 Medford Ave
Patchogue, NY 11772-1281

Phone

(631) 666-3951

Fax

(631) 750-1177

NPI assigned

Aug 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Spine Medicine and Surgery PLLCGroup PAC ID 0941614341, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• New York Spine Medicine and Surgery PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Ronkonkoma, NY
  • NPI 1346837226
  Medicare reassignment Care Compare group NPD
• Long Island Physician Associates, PLLC

  • Surgery Physician
  • Port Jefferson, NY
  • NPI 1871906941
  Medicare reassignment NPD
• North Shore Hematology Oncology Associates PC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1396794574
  Medicare reassignment NPD

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1730604752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513620",
            "telephone_number": "631-666-3951",
            "fax_number": "631-750-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MEDFORD AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721281",
            "telephone_number": "631-666-3951",
            "fax_number": "631-750-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OFFICE OF PROFESSIONS",
            "identifier": "308385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• In Touch Wellness Inc
• Ann Riker Inoue, M.S.,O.T.R.,L.L.C.C.
• Jason Intermesoli
• International Orthopedics, Inc.
• Hamiyet Ipek, MD
• Adeel Azmat Iqbal, D.O.
• Island Musculoskeletal Care, M.D., P.C.
• Island Musculoskeletal Care, MD, PC
• Muhammad Israr Ul Haq
• Alexa Izzo

• Adult Health Nurse Practitioner in Patchogue, NY
• Providers in Patchogue, 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 Aug 10, 2017; 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.
• 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.