DR. MICHAEL DEMARTINO (NPI# 1407100266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407100266 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DEMARTINO |
| Credential | M.D. |
| Practice Address |
58 Iroquois St E Massapequa NY 11758-7626 |
| Practice Telephone | 5167978941 |
| Practice Fax Number | 5167978941 |
| Mailing Telephone | 5167978941 |
| Mailing Fax Number | 5167978941 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
167514 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
58 IROQUOIS ST E |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-7626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302642 | Yvonne Milewski | Pathology | 16015 82nd Dr, Jamaica, NY 11432-1102 | 2020-09-25 |
| 1609233386 | Margaret Mary Prial | Pathology | 520 First Ave., New York, NY 10016 | 2016-01-26 |
| 1659657237 | Stuart Lyle Dawson | Pathology | 16 Radburn Dr, Commack, NY 11725-1117 | 2011-10-27 |
| 1720364763 | Kara I. Storck | Pathology | 160-15 82nd Drive, Jamaica, NY 11432 | 2011-10-21 |
| 1952600165 | Sean C Kelly | Pathology | 364 13th St Apt 3, Brooklyn, NY 11215-7334 | 2011-03-28 |
| 1902105646 | Kanayo Tatsumi | Pathology | 520 First Avenue, New York, NY 10016 | 2011-03-21 |
| 1144524414 | Gerard Anthony Catanese | Pathology | 64 Muttontown Rd, Syosset, NY 11791-2401 | 2010-12-30 |
| 1114157286 | Zoya B Shmuter | Pathology | 444 E 86th St Apt 19h, New York, NY 10028-6461 | 2009-07-22 |
| 1144456997 | Kari B. Reiber | Pathology | 85 Civic Center Plz Ste 106, Poughkeepsie, NY 12601-2446 | 2009-06-08 |
| 1689731598 | Lauren Park Thoma | Pathology | 520 1st Ave, New York, NY 10016-6419 | 2007-01-02 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.