DANIEL THOMAS IPPOLITO (ANP) – Adult Health Nurse Practitioner, NPI 1730604752

DANIEL THOMAS IPPOLITO (ANP) is a healthcare provider. based in Islip, New York. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 308385 (NY). The NPI Number for DANIEL THOMAS IPPOLITO (ANP) is 1730604752

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL THOMAS IPPOLITO (ANP)
NPI
1730604752
Phone
(631) 666-3951
Address
712 MAIN ST
Enumeration Date
10 August 2017
Last Update Date
10 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6317307970
Graduation Year
2017 (9 years ago)
PAC ID
1254604937
Group Practice PAC ID
0941614341
Professional Enrollment ID
I20170830003852
Address ID
NY115304721GA700XXAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

17,202 NURSE PRACTITIONER in NY

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Provider Addresses for DANIEL THOMAS IPPOLITO (ANP)

  • 712, Main Street, Islip, Suffolk County, New York, 11751, United States

    ISLIP, NY 117513620

    Phone: (631) 666-3951

    Fax: (631) 750-1177

    Type: Mailing

  • 77, Medford Avenue, Patchogue, Suffolk County, New York, 11772, United States

    PATCHOGUE, NY 117721281

    Phone: (631) 666-3951

    Fax: (631) 750-1177

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,945.

Total Amount is formed as General ($1,945) + Research ($0) + Ownership ($0) = $1,945.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: MML US, Inc. ($997).

Total Amount

$1,945

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,945

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-30

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170830003852INurse PractitionerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12599$0
99213Established patient office or other outpatient visit, 20-29 minutes4240$0
20553Injection of trigger points, 3 or more muscles1412$0
View full utilization report →

Insurance plans in this area (ZIP 11751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941614341View full group profile
NameSpecialtyState
Orthopedic SurgeryNY
Orthopedic SurgeryCT
Orthopedic Surgery, NeurosurgeryTX
Physical Medicine And Rehabilitation, Pain ManagementAZ
Physician AssistantNY
Physical Medicine And Rehabilitation, Pain ManagementNY

Reviews

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Frequently asked questions

What is the registry number for DANIEL THOMAS IPPOLITO (ANP)?
The registry entry for DANIEL THOMAS IPPOLITO (ANP) shows NPI 1730604752.
Does the public listing show DANIEL THOMAS IPPOLITO (ANP) as active?
DANIEL THOMAS IPPOLITO (ANP)'s NPI record reflects an active status in NPPES.
What services align with DANIEL THOMAS IPPOLITO (ANP)'s listing?
DANIEL THOMAS IPPOLITO (ANP)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DANIEL THOMAS IPPOLITO (ANP)?
DANIEL THOMAS IPPOLITO (ANP) is associated with Islip, New York in the same public data insurers reference.
Can I export DANIEL THOMAS IPPOLITO (ANP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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