DANIEL THOMAS IPPOLITO ANP
NPI 1730604752
Nurse Practitioner - Adult Health in Patchogue, NY
About Daniel Thomas Ippolito Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL THOMAS IPPOLITO ANP (NPI 1730604752) is an individual adult health provider in Patchogue, New York, licensed in New York (308385) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daniel Thomas Ippolito Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Daniel Ippolito reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ronkonkoma, NY 11779
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
Port Jefferson Station, NY 11776
- Reassigned Medicare billing, New York enrollment
- 636 clinicians in this Medicare group
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PATCHOGUE, NY 11772
PATCHOGUE, NY 11772
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 Daniel Ippolito's NPI number?
The NPI number for Daniel Ippolito is 1730604752. It was assigned to this individual provider in the NPPES registry on August 10, 2017.
Where is Daniel Ippolito located?
Daniel Ippolito practices at 77 Medford Ave, Patchogue, NY 11772. The listed phone number is (631) 666-3951.
What is Daniel Ippolito's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Daniel Ippolito enrolled in Medicare?
Yes. Daniel Ippolito is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Daniel Ippolito's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Ippolito reassigns Medicare benefits to 3 organizations: New York Spine Medicine And Surgery PLLC (Ronkonkoma, NY), North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY) and Long Island Physician Associates, PLLC (Port Jefferson, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Ippolito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Daniel Ippolito was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Daniel Thomas Ippolito, ANP · NPI 1730604752
Adult Health physician in Patchogue, New York. Individual provider, active in the CMS NPPES registry since August 10, 2017.
## Identity
- **NPI:** 1730604752 (Entity type: Individual)
- **Enumerated:** August 10, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 308385 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 77 MEDFORD AVE, Patchogue, NY 11772-1281
- **Phone:** (631) 666-3951 · **Fax:** (631) 750-1177
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): New York Spine Medicine And Surgery PLLC (NPI 1346837226, Ronkonkoma, NY); North Shore Hematology Oncology Associates PC (NPI 1396794574, Port Jefferson Station, NY); Long Island Physician Associates, PLLC (NPI 1871906941, Port Jefferson, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 10, 2017
- **Other identifiers:** Other 308385 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1730604752) · Data from the CMS NPPES public registry.