Active NPI
Theresa Ann Dragottto, L.AC.
- Acupuncturist
- Smithtown, NY
National Provider Identifier
1962659961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002284
- Practice address
- 363 Route 111
Smithtown, NY 11787-4756 - Phone
- (631) 833-9996
- Fax
- (631) 382-4082
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002284 | NY | Primary |
Addresses
Primary practice location
363 Route 111
Smithtown, NY 11787-4756
Mailing address
4 Stone Gate CT
Smithtown, NY 11787-1567
Phone (631) 833-9996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002284 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Acupuncture of Long Island | Acupuncturist | Current | Accepting new patients |
Locations
363 Route 111
Ste LL5
Smithtown, NY 11787
Phone (631) 656-0828
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Smithtown, NY
- NPI 1962155820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1962659961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 STONE GATE CT",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871567",
"telephone_number": "631-833-9996",
"fax_number": "631-382-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 ROUTE 111",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874756",
"telephone_number": "631-833-9996",
"fax_number": "631-382-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGOTTTO",
"first_name": "THERESA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.