DR. DANIELLE MARIE MACINA D.O.
NPI 1790105138
Pediatrics - Developmental - Behavioral Pediatrics in East Setauket, NY
NPI Status: Active since April 24, 2014
Contact Information
37 RESEARCH WAY
EAST SETAUKET, NY
ZIP 11733
Phone: (631) 444-5437
- Individual
- Female
- Pediatrics
- Developmental - Behavioral Pediatrics
- Accepts Insurance
- PECOS Enrolled
About DANIELLE MACINA
This page provides the complete NPI Profile along with additional information for Danielle Macina, a pediatrician established in East Setauket, New York with a medical specialization in Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1790105138 assigned on April 2014. The practitioner's primary taxonomy code is 2080P0006X with license number 288441 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1790105138
- Provider Name
- DR. DANIELLE MARIE MACINA D.O.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 37 RESEARCH WAY EAST SETAUKET, NY 11733
- Location Phone
- (631) 444-5437
- Mailing Address
- PO BOX 1559 STONY BROOK, NY 11790
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-24-2014
- Last Update Date
- 04-29-2022
- Code Navigator
A pediatrician like Danielle Macina is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Developmental - Behavioral Pediatrics
- Taxonomy Code
- 2080P0006X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 288441
- License State
- NY
- Taxonomy Description
- A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Premier - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Essential - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Danielle Macina is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. DANIELLE MARIE MACINA D.O.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790105138, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790105138, enumerated as an "individual" on April 24, 2014.
The provider is located at 37 RESEARCH WAY EAST SETAUKET, NY 11733 and the phone number is (631) 444-5437.
Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.
The provider might be accepting Accepts: First Choice Next. Please consult your insurance carrier or call the provider to verify.
