| Daniel Thomas Ippolito, ANP | |
|
77 Medford Ave, Patchogue, NY 11772-1281 | |
| (631) 666-3951 | |
| (631) 750-1177 |
| Full Name | Daniel Thomas Ippolito |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 77 Medford Ave, Patchogue, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730604752 | NPI | - | NPPES |
| 308385 | Other | NY | NYS OFFICE OF PROFESSIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 308385 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York Spine Medicine And Surgery Pllc | 0941614341 | 5 |
| Entity Name | North Shore Hematology Oncology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
| Entity Name | Long Island Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871906941 PECOS PAC ID: 9032436415 Enrollment ID: O20150324000458 |
| Entity Name | North Suffolk Neurology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316335540 PECOS PAC ID: 8729305602 Enrollment ID: O20150403000090 |
| Entity Name | New York Spine Medicine And Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346837226 PECOS PAC ID: 0941614341 Enrollment ID: O20210126002620 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Thomas Ippolito, ANP 712 Main St, Islip, NY 11751-3620 Ph: (631) 666-3951 | Daniel Thomas Ippolito, ANP 77 Medford Ave, Patchogue, NY 11772-1281 Ph: (631) 666-3951 |
Linda Belber, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Washington Ave, Patchogue, NY 11772 Phone: 631-269-5800 | |
Mrs. Ashley Reynolds, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Rowland St, Patchogue, NY 11772 Phone: 631-578-8138 | |
Bernice Bouzy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 E Main St, Patchogue, NY 11772 Phone: 631-866-2030 | |
Taryn Fellini, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 N Ocean Ave, Patchogue, NY 11772 Phone: 631-913-8239 | |
Marie Christine Didonato, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W Roe Blvd, Patchogue, NY 11772 Phone: 516-728-4945 | |
Debra Tesoriero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 E Woodside Ave, Patchogue, NY 11772 Phone: 631-758-6565 Fax: 631-758-6568 | |
Ms. Lisa Michelle Hodge-scelsa, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Medford Ave, Route 112, Patchogue, NY 11772 Phone: 631-758-4444 Fax: 631-758-1984 |