Danielle Marie Divanna

Primary specialty

DentistTaxonomy code 122300000X

License

063352 Issued in NY

Practice address

901 Stewart Ave Ste 212
Garden City, NY 11530-4823

Phone

(516) 742-4422

NPI assigned

Jan 30, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1821741901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16339 20TH RD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113574024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE STE 212",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304823",
            "telephone_number": "516-742-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "996 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034957",
            "country_code": "US",
            "telephone_number": "516-931-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27005 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401402",
            "country_code": "US",
            "telephone_number": "347-804-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVANNA",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Melissa Dinome, PT, DPT
• Melissa Ann Dippolito, PSY.D.
• Samantha Lynn Dirosa, DPT
• Esther Disilvestre
• Ditmars Psychological Services, PLLC
• Bonnie Lee Dobkin, MD
• Michael Dobryansky, MD
• Genine M Doddo, DPT
• Michael Dodge
• Meaghan Rose Doherty, CCC-SLP

• Dentist in Garden City, NY
• Providers in Garden City, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.