Active NPI
Patrick S Depippo,MD,PC
- Specialist
- Manhasset, NY
National Provider Identifier
1922320977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 199525
- Legal business name
- PATRICK S DEPIPPO,MD,PC
- Practice address
- 1165 Northern Blvd
#401
Manhasset, NY 11030-3048 - Phone
- (516) 365-5333
- Fax
- (516) 365-3279
- NPI assigned
- Feb 18, 2010
- Last updated
- Feb 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron Felder
- Title
- Manager
- Phone
- (516) 365-5333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 199525 | NY | Primary |
Addresses
Primary practice location
1165 Northern Blvd
#401
Manhasset, NY 11030-3048
Mailing address
PO Box 404
Manhasset, NY 11030-0404
Phone (516) 365-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2200 Northern Blvd
Ste 126
Greenvale, NY 11548
Phone (516) 365-5333
1615 Northern Blvd
Ste 5
Manhasset, NY 11030
Phone (516) 365-5333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266451200000",
"number": "1922320977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110300404",
"telephone_number": "516-365-5333",
"fax_number": "516-365-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 NORTHERN BLVD",
"address_2": "#401",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303048",
"telephone_number": "516-365-5333",
"fax_number": "516-365-3279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK S DEPIPPO,MD,PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-18",
"last_updated": "2010-02-18",
"status": "A",
"authorized_official_last_name": "FELDER",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "516-365-5333"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "199525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.