Organization Active NPI

Daphne Gleit -Caduri MD, PC

  • Pediatric Adolescent Medicine Physician
  • Commack, NY
National Provider Identifier
1811074156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
188723 Issued in NY
Legal business name
DAPHNE GLEIT -CADURI MD, PC
Practice address
6268 Jericho Tpke
Suite 11
Commack, NY 11725-2810
Phone
(631) 499-4700
Fax
(631) 499-8285
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daphne Gleit-Caduri, M.D.
Title
President
Phone
(631) 499-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 188723 NY Primary

Addresses

Primary practice location

6268 Jericho Tpke
Suite 11
Commack, NY 11725-2810

Mailing address

6268 Jericho Tpke
Suite 11
Commack, NY 11725-2810
Phone (631) 499-4700

National Provider Directory

National Provider Directory

Locations

6268 Jericho Tpke
Ste 11
Commack, NY 11725
Phone (631) 499-4700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811074156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 JERICHO TPKE",
            "address_2": "SUITE 11",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252810",
            "telephone_number": "631-499-4700",
            "fax_number": "631-499-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 JERICHO TPKE",
            "address_2": "SUITE 11",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252810",
            "telephone_number": "631-499-4700",
            "fax_number": "631-499-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAPHNE GLEIT -CADURI MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLEIT-CADURI",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-499-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "188723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.