NPIMap

Organization Active NPI

Diane and Raymond Magliulo, DO PC

  • Primary Care Clinic/Center
  • Bay Shore, NY
National Provider Identifier
1902103864
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
183975 Issued in NY
Legal business name
DIANE AND RAYMOND MAGLIULO, DO PC
Practice address
245 W Main St
Bay Shore, NY 11706-8323
Phone
(631) 969-0000
Fax
(631) 969-1094
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Diane Magliulo, DO
Title
President
Phone
(631) 969-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 183975 NY Primary
Primary Care Clinic/Center 261QP2300X 183013 NY

Addresses

Primary practice location

245 W Main St
Bay Shore, NY 11706-8323

Mailing address

245 W Main St
Bay Shore, NY 11706-8323
Phone (631) 969-0000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1902103864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068323",
            "telephone_number": "631-969-0000",
            "fax_number": "631-969-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068323",
            "telephone_number": "631-969-0000",
            "fax_number": "631-969-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE AND RAYMOND MAGLIULO, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "MAGLIULO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-969-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "183975",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "183013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.