Active NPI
Danielle N Degiorgio, D.O.
- Physical Medicine & Rehabilitation Physician
- East Setauket, NY
National Provider Identifier
1902117617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 263356
- Practice address
- 6 Technology Dr Ste 100
East Setauket, NY 11733-4079 - Phone
- (631) 689-6698
- Fax
- (631) 751-5548
- NPI assigned
- Jun 28, 2010
- Last updated
- May 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 263356 | NY | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 263356 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 263356 | NY | Primary |
Addresses
Primary practice location
6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Mailing address
6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Phone (631) 689-6698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Technology Dr
Suite 100
East Setauket, NY 11733-4079
Phone (631) 689-6698
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.19 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 73.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263356 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Charles Hospital Corp | Current | Accepting new patients |
Locations
500 Commack Rd
Unit 150
Commack, NY 11725
Phone (631) 371-8034
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
Interoperability endpoints
- danielledegiorgio@oali.ssdirect.aprima.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- East Setauket, NY
- NPI 1225593809
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1497765630
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1902117617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR STE 100",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "631-689-6698",
"fax_number": "631-751-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR STE 100",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "631-689-6698",
"fax_number": "631-751-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGIORGIO",
"first_name": "DANIELLE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "263356",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "263356",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "263356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.