Individual provider Active NPI

Patrick Domenico Frisella, D.O.

  • Family Medicine Physician
  • Franklin Square, NY
National Provider Identifier
1962717546
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
255862 Issued in NY
Practice address
672 Dogwood Ave
#322
Franklin Square, NY 11010-3247
Phone
(516) 510-4328
NPI assigned
Aug 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 255862 NY Primary

Addresses

Primary practice location

672 Dogwood Ave
#322
Franklin Square, NY 11010-3247

Mailing address

672 Dogwood Ave
#322
Franklin Square, NY 11010-3247
Phone (516) 510-4328

Other names 1

  • Dr. Patrizio Domenico Frisella Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110628000108 NY Practitioner - Family Practice 7315125051 Reassigns benefits to 6 organizations
Practice locations: Franklin Square, NY
I20181002003474 PA Practitioner - Family Practice 7315125051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Association of Nassau County, Inc. CurrentSince Nov 1, 2012 Accepting new patients
Excel Urgent Care of Nesconset, PLLC CurrentSince May 7, 2016 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince May 7, 2016 Accepting new patients
Excel Urgent Care of East Northport, PLLC CurrentSince May 7, 2016 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Feb 1, 2019 Accepting new patients
Excel Urgent Care of Astoria PLLC CurrentSince Jun 1, 2016 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
Chenango Memorial Hospital, Inc. Family Medicine PastSince May 7, 2016 Accepting new patients

Locations

558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459

15740 Crossbay Blvd
Howard Beach, NY 11414
Phone (917) 300-6969

465 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 676-6700

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

380 Washington Ave
Roosevelt, NY 11575
Phone (516) 375-2000

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

5024 Pennell Rd
Aston, PA 19014
Phone (484) 456-1257

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1962717546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 DOGWOOD AVE",
            "address_2": "#322",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103247",
            "telephone_number": "516-510-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 DOGWOOD AVE",
            "address_2": "#322",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103247",
            "telephone_number": "516-510-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISELLA",
        "first_name": "PATRICK",
        "middle_name": "DOMENICO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRIZIO",
            "last_name": "FRISELLA",
            "middle_name": "DOMENICO",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.