John A Ippolito


Address: 100 S Jersey Ave, Unit 19, Setauket, NY 11733-2036

John A Ippolito (NPI# 1043275605, PAC ID# 9739191685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1043275605
PAC ID by PECOS 9739191685
Professional Enrollment ID I20060615000205
Full Name John A Ippolito
Address 100 S Jersey Ave
Unit 19
Setauket
NY 11733-2036
Gender M
Credential DO
Medical School NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year 1985
Primary Specialty RHEUMATOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330185 JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
330393 SUNY/STONY BROOK UNIVERSITY HOSPITAL
330246 ST CHARLES HOSPITAL

Other Locations

Address Phone Organization
100 S Jersey Ave, Unit 19, Setauket, NY 11733-2036

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_177_overall Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity 100%
MIPS_EC_178_overall Rheumatoid Arthritis (RA): Functional Status Assessment 100%
MIPS_EC_179_overall Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis 100%
MIPS_EC_180_overall Rheumatoid Arthritis (RA): Glucocorticoid Management 100%

Organization Information

Office Location

Street Address 100 S JERSEY AVE
UNIT 19
City SETAUKET
State NY
Zip 11733-2036

Physicians in the same location

Name Specialty Organization Address
Christopher Ng Family Medicine 100 S Jersey Ave, Suite 14, Setauket, NY 11733-2036
Donna E Friedman Psychologist, Clinical 100 S Jersey Ave, Unit 21, East Setauket, NY 11733-2036
Paul J Botticelli Clinical Social Worker 100 S Jersey Ave, Suite 42, East Setauket, NY 11733-2060
James E Townsend Psychiatry 100 S Jersey Ave, Suite 1, East Setauket, NY 11733-2035
Lois M Paley Psychologist, Clinical 100 S Jersey Ave, Unit 21, East Setauket, NY 11733-2036
Magery N. Satish Psychiatry 100 S Jersey Ave, Unit 23, Setauket, NY 11733-2036
Jenna Kaiserman Obstetrics/gynecology Square Care Medical Group LLP 100 S Jersey Ave, Unit 16, East Setauket, NY 11733-2036
Chris Raju Obstetrics/gynecology Square Care Medical Group LLP 100 S Jersey Ave, Unit 16, East Setauket, NY 11733-2036
Nancy M Rosenberg Clinical Social Worker 100 S Jersey Ave, Unit 1, East Setauket, NY 11733-2035

Physicians in the same zip code

Name Specialty Organization Address
Bernice Kornfield Premisler Clinical Social Worker 764 Route 25a 8, East Setauket, NY 11733-1231
Suzanne J Ennis Clinical Social Worker 5 Blueberry Ridge Rd, Setauket, NY 11733-1503
Susan G Simms Clinical Social Worker 16 Storybook Ln, East Setauket, NY 11733-1727
Kathleen Rogers Clinical Social Worker 3 Fox Hollow Rd, East Setauket, NY 11733-1811
Natalie L Shapiro Clinical Social Worker 14 Thornwood Way, East Setauket, NY 11733-1825
Charles Levine Chiropractic 151 Gnarled Hollow Rd, East Setauket, NY 11733-1955
Nancy Weitzman Clinical Psychologist 100 33 S Jersey Ave, Setauket, NY 11733-2037
Regina G Powers Physical Therapy 128 Old Town Rd, East Setauket, NY 11733-2064
Stephen Braun Family Medicine 7 S Jersey Ave, Setauket, NY 11733-2065
Roderick A Borrie Psychologist, Clinical 7 Locust Ave, Setauket, NY 11733-2253
Find all physicians in zip 11733

Competitor

Search similar physicians

City SETAUKET
Zip Code 11733
Specialty RHEUMATOLOGY
City + Specialty SETAUKET + RHEUMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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