Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DOMINICK A DESTEFANO A.T.,C
NPI 1053378067
Specialist/Technologist - Athletic Trainer in Southampton, NY

Q: What is Dominick Destefano's NPI number?

The NPI number for Dominick Destefano is 1053378067. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Dominick Destefano's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since April 26, 2006

1370A MAJORS PATH, SOUTHAMPTON, NY 11968(631) 259-0400(631) 259-0404 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Dominick A Destefano A.t.,c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOMINICK A DESTEFANO A.T.,C (NPI 1053378067) is an individual athletic trainer provider in Southampton, New York, licensed in New York (000572-1) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1053378067

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. DOMINICK A DESTEFANOCredential: A.T.,C

Location Address1370A MAJORS PATHSouthampton, NY 11968-2416

Mailing Address58 School StHampton Bays, NY 11946-2657 · (631) 723-1041

Phone(631) 259-0400

Fax(631) 259-0404

Sole ProprietorNo

Enumeration DateApril 26, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1053378067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in NY · 000572-1

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1370A MAJORS PATH, Southampton, NY 11968

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominick Destefano's NPI number?

The NPI number for Dominick Destefano is 1053378067. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Dominick Destefano located?

Dominick Destefano practices at 1370A Majors Path, Southampton, NY 11968. The listed phone number is (631) 259-0400.

What is Dominick Destefano's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Dominick Destefano was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.