John Donofrio, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

306118 Issued in NY

Practice address

792 Harrison Ave
Riverhead, NY 11901-2744

Phone

(631) 591-3120

NPI assigned

Jul 15, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342310400000",
    "number": "1790030823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 HARRISON AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012744",
            "telephone_number": "631-591-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 HARRISON AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012744",
            "telephone_number": "631-591-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOFRIO",
        "first_name": "JOHN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-15",
        "last_updated": "2012-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia K Distenfeld, LMSW
• Jane A Dlhopolsky-Hill, M.A.
• Ciara Doerler
• Sean M Donahoe, M.D.
• Brianna Donato
• Lynn Doris
• Nicole Elizabeth Dornicik, AU.D.
• Elizabeth Anne Doroski, D.D.S.
• Gregory Paul Doroski, DMD
• Lyndsay R Doroski, OTR/L

• Adult Health Nurse Practitioner in Riverhead, NY
• Providers in Riverhead, 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 Jul 15, 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.