NPIMap

Individual provider Active NPI

Tony Conigliaro, DO

  • Family Medicine Physician
  • Plainview, NY
National Provider Identifier
1740817063
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
316712 Issued in NY
Practice address
888 Old Country Rd
Plainview, NY 11803-4914
Phone
(631) 991-0460
NPI assigned
Mar 25, 2020
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Family Medicine Physician 207Q00000X 316712 NY Primary

Addresses

Primary practice location

888 Old Country Rd
Plainview, NY 11803-4914

Mailing address

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517001750 NY Practitioner - Family Practice 0345606331 Reassigns benefits to 2 organizations
Practice locations: Melville, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Old Country Rd
Suite 170
Melville, NY 11747-2732
Phone (631) 271-9151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Stonebridge Family Medicine PLLC Family Medicine Current Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Southwest Suffolk Medical, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Southwest Suffolk Medical PC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Oakwood Operating Co, LLC Past Accepting new patients
Meadowbrook Care Center, Inc. Past Accepting new patients
Smithtown Health Care Management Past Accepting new patients
Parkview Care and Rehabilitation Center, Inc Past Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3538

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

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

Interoperability endpoints

  • Direct secure messaging: tconigliaro364644@northwell.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1740817063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034914",
            "telephone_number": "516-719-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034914",
            "telephone_number": "631-991-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIGLIARO",
        "first_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "316712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.