Dyan Nunziato, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032780-1

Practice address

176 Smithtown Blvd
Nesconset, NY 11767-1859

Phone

(663) 163-1963

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dyan Hertel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

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

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1790288546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CALVERT AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795917",
            "telephone_number": "631-748-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 SMITHTOWN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671859",
            "telephone_number": "663-163-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNZIATO",
        "first_name": "DYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032780-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "032780-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DYAN",
            "last_name": "HERTEL",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynda NG, PHARM. D
• Stephanie Marika Nicolette, PA-C
• North Shore Medical Group of the Mount Sinai School of Medicine
• North Shore Medical Group of the Mount Sinai School of Medicine
• North Suffolk Endocrinology, P.C.
• Evelyn Oudjehane, LCSW
• David Henry Oustecky, M.D.
• Darlene Joan Paduano, N.P.
• Vincent P Pagan
• Sarah M Pappas

• Physical Therapist in Nesconset, NY
• Providers in Nesconset, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.