John Robert Dimartino in Massapequa - Family Medicine
John Robert Dimartino - NPI 1104901057
John Robert Dimartino is a Family Medicine in Massapequa, New York. John Robert Dimartino practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Robert Dimartino is 1104901057. The last update date is 2015-07-16.
John Robert Dimartino's current location address is 747 N Broadway, Massapequa, New York. You can contact this provider via phone number 5167955200 and fax number 5167953865. The mailing address for John Robert Dimartino is 747 N Broadway, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Robert Dimartino |
|---|---|
| Address | 747 N Broadway, Massapequa, New York |
| Phone Number | 5167955200 |
| Fax Number | 5167953865 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104901057 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2015-07-16 |
Provider Mailing Address Detail
| Address | 747 N Broadway |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117582395 |
| Phone Number | 5167955200 |
| Fax Number | 5167953865 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 157041 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CP486 | OXFORD | ||
| 45289 | GHI |
Post Comment/ Review Below
What is the John Robert Dimartino's unique identification number?
The John Robert Dimartino has been assigned the NPI (National Provider Identifier) Number 1104901057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where John Robert Dimartino is geographically located?
The John Robert Dimartino is physically situated at the following location: 747 N Broadway, Massapequa, NY, 117582395.
What is John Robert Dimartino's area of expertise and its corresponding taxonomy classification?
The John Robert Dimartino's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did John Robert Dimartino receive its 1104901057 assignment from the Centers for Medicare & Medicaid Services?
The John Robert Dimartino was assigned its 1104901057 on 2006-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the John Robert Dimartino's information last updated?
The John Robert Dimartino's information was last updated on 2015-07-16.