Dr. John A Ippolito
Rheumatology
100 S Jersey Ave Unit 19
Setauket
, New York 11733-2034
Dr. John A Ippolito
Rheumatology
100 S Jersey Ave Unit 19
Setauket
, New York 11733-2034
(631) 689-5000
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. John A Ippolito
- 100 S Jersey Ave
- Setauket, NY
- Zip : 11733-2034
- Phone : (631) 689-5000
Second Address
- Dr. John A Ippolito
- 100 S Jersey Ave Unit 19
- Setauket, NY
- Zip : 11733-2034
- Phone : (631) 689-5000
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Is Dr. John A Ippolito a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 167286 | NY |
National Provider Identifier
| NPI | 1043275605 |
|---|---|
| Provider Name | Dr. John A Ippolito |
| First Address | Setauket, NY 11733-2034 |
| Second Address | Setauket, NY 11733-2034 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D92050 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.