Destino Medical Diagnostics PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DESTINO MEDICAL DIAGNOSTICS PC

Practice address

202 Fallwood Pkwy
Farmingdale, NY 11735-4929

Phone

(631) 834-9380

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Salvatore Trazzera, M.D.

Title

President

Phone

(516) 834-9380

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1740525906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FALLWOOD PKWY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354929",
            "telephone_number": "631-834-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FALLWOOD PKWY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354929",
            "telephone_number": "631-834-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINO MEDICAL DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "TRAZZERA",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-834-9380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Education
• Theresa Irene Desantis, PH.D.
• Megan Elizabeth Desimone, OTR/L
• Sherif Desouky
• Sindy Destin
• Erika Di Gioia, OTR/L
• Robert F Dibaro, RPA-C
• Megan Dibenedetto
• Ava Rose Mai Diciero
• Differ Partners, LLC

• Cardiovascular Disease Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.