Danielle Decesare, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

017927 Issued in NY

Practice address

Advanced Dermatology, PC
2627 B Hylan Blvd (Lower Level)
Staten Island, NY 10306

Phone

(718) 351-8101

Fax

(718) 667-0250

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Advanced Dermatology of New York PC

  • Dermatology Physician
  • New York, NY
  • NPI 1083610521
  Medicare reassignment
• Advanced Dermatology of New York, P.C.

  • Specialist
  • Bronx, NY
  • NPI 1497017552
  NPD
• Advanced Dermatology PC

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1134201460
  NPD (past)
• Devito and Alvarado Pediatric Associates, PLLC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1720042328
  NPD (past)
• Staten Island Physician Practice PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1568413169
  NPD (past)

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1992102644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOWELL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-326-4160",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADVANCED DERMATOLOGY, PC",
            "address_2": "2627 B HYLAN BLVD (LOWER LEVEL)",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-351-8101",
            "fax_number": "718-667-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 park ave suite 1E",
            "address_purpose": "LOCATION",
            "city": "new york",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-837-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECESARE",
        "first_name": "DANIELLE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria B Decarlo, R.N.
• Regina R Decarlo, MD
• Jacqueline Jean Decarluccio
• Arianna Decaro, PT,DPT
• Angelina Reperoga Decastro, MD
• Vincent Bruzola Dechavez
• Rachel Dechiriico
• Christina A Decicco, FNP-C
• Alyssa Decker
• Christine Oladuni Lucinda Decker

• Physician Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.