Active NPI
Michelle Catherine Dipaolo
- Surgical Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 130 E 67TH St
New York, NY 10065-6136 - Phone
- (212) 392-6158
- NPI assigned
- May 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 025273 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
130 E 67TH St
New York, NY 10065-6136
Mailing address
168 Grantwood Ave
Staten Island, NY 10312-1954
Phone (929) 314-6959
Other practice location 1
168 Grantwood Ave
Staten Island, NY 10312-1954
Phone (929) 314-6959
Other practice location 2
1 Campus Rd
Staten Island, NY 10301-4479
Phone (718) 420-4160
Other practice location 3
535 E 70th St
New York, NY 10021-4898
Phone (212) 606-1510
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ | Direct | |
| Direct Messaging Address | palaciosd@hss.edu | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980
535 E 70TH St
New York, NY 10021-4823
Phone (212) 606-1510
Hospital & facility affiliations
- Hospital for Special Surgery
- Staten Island University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mdipaolo69546@northwell.direct-ci.com
Organizations & group practices 3
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.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- New York, NY
- NPI 1730500844
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Physical Therapist
- New York, NY
- NPI 1811060619
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Radiology Clinic/Center
- New York, NY
- NPI 1376032029
Hospital
-
- Radiology Clinic/Center
- Brooklyn, NY
- NPI 1487200408
Hospital
-
- Radiology Clinic/Center
- New York, NY
- NPI 1801443619
Hospital
-
- Radiology Clinic/Center
- Southampton, NY
- NPI 1023705803
Hospital
-
- General Acute Care Hospital
- New York, NY
- NPI 1598703019
-
- Radiology Clinic/Center
- Uniondale, NY
- NPI 1629504501
Hospital
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1447082003
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1184038663
-
- Radiology Clinic/Center
- Stamford, CT
- NPI 1821402306
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1780206144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 GRANTWOOD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121954",
"telephone_number": "929-314-6959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E 67TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656136",
"telephone_number": "212-392-6158"
}
],
"practiceLocations": [
{
"address_1": "168 Grantwood Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103121954",
"country_code": "US",
"telephone_number": "929-314-6959",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Campus Rd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103014479",
"country_code": "US",
"telephone_number": "718-420-4160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 E 70th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100214898",
"country_code": "US",
"telephone_number": "212-606-1510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIPAOLO",
"first_name": "MICHELLE",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-08",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "025273",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 E 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214898",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "palaciosd@hss.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 E 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214898",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.