Active NPI
William P Depietro, MD
- Dermatology Physician
- Glen Cove, NY
National Provider Identifier
1851484737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 132739
- Practice address
- 10 Medical Plaza Suite 102
Glen Cove, NY 11542 - Phone
- (516) 671-1780
- Fax
- (516) 671-1789
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 132739 | NY | Primary |
Addresses
Primary practice location
10 Medical Plaza Suite 102
Glen Cove, NY 11542
Mailing address
10 Medical Plaza Suite 102
Glen Cove, NY 11542
Phone (516) 671-1780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132739 | NY | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851484737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MEDICAL PLAZA SUITE 102",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "11542",
"telephone_number": "516-671-1780",
"fax_number": "516-671-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEDICAL PLAZA SUITE 102",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "11542",
"telephone_number": "516-671-1780",
"fax_number": "516-671-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPIETRO",
"first_name": "WILLIAM",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "132739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.