Philip Degaetano D.O.P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHILIP DEGAETANO D.O.P.C.

Practice address

405 Sayville Blvd
Sayville, NY 11782-2015

Phone

(631) 806-1357

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Philip Degaetano, D.O.NPI 1174810436

Title

Owner

Phone

(631) 806-1357

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Philip D Degaetano, D.O.

  • Family Medicine Physician
  • West Islip, NY
  • NPI 1174810436
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1881430932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117150023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SAYVILLE BLVD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822015",
            "telephone_number": "631-806-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP DEGAETANO D.O.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "DEGAETANO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-806-1357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Perednia, LMSW
• Judith Barbara Perlmutter, L.M.S.W.
• Holly Dawn Petersen
• Petite Fleur Nursing Home
• Karen Petrosino, R,N,
• Physical Therapy at Home P.C.
• Jenna Christina Piccinone, NCSP
• Stevan Michael Pierce, D.M.D.
• Robin Pieslak
• Dayna Plochochi

• Family Medicine Physician in Sayville, NY
• Providers in Sayville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.