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DOMINICK DISTASIO
NPI 1740714930
Case Manager/Care Coordinator in Smithtown, NY

Active since April 14, 2017
11 ROUTE 111, SMITHTOWN, NY 11787(631) 920-8028 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominick Distasio NPPES

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

DOMINICK DISTASIO (NPI 1740714930) is an individual case manager/care coordinator provider in Smithtown, New York and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1740714930
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDOMINICK DISTASIO
Location Address11 ROUTE 111Smithtown, NY 11787-3754
Mailing Address5 Hudson DrKings Park, NY 11754-4411
Phone(631) 920-8028
Sole ProprietorYes
Enumeration DateApril 14, 2017
✔ NPI 1740714930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
11 ROUTE 111, Smithtown, NY 11787
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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.

MR. KEVFOY LENROY FLETCHER MASTERS IN SOCIAL WK
Counselor
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303
SHAKERIA KERISHA SLATER
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303
STEPHANIE GRANATA
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
LAURA CARRANO
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8306
GAYLE MCCARTHY LCSW
Social Worker (Clinical)
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
VAISHNAVI VADDIGIRI M.D.
Psychiatry & Neurology (Psychiatry)
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
ALICIA MERCADO
Case Manager/Care Coordinator
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8346
AMANDA M COSTA
Case Manager/Care Coordinator
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303

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 Distasio's NPI number?

The NPI number for Dominick Distasio is 1740714930. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Dominick Distasio located?

Dominick Distasio practices at 11 Route 111, Smithtown, NY 11787. The listed phone number is (631) 920-8028.

What is Dominick Distasio's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Dominick Distasio was last updated on April 14, 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.