Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Thomas Ippolito, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1730604752

Daniel Thomas Ippolito, ANP is a Nurse Practitioner in Patchogue, New York. Qualified in 2017, 9 years ago. Practices with New York Spine Medicine and Surgery PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

77 Medford Ave
Patchogue, NY 11772-1281
Phone: (631) 666-3951
Fax: (631) 750-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 308385 (NY)

Record details

NPI number1730604752
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP
Sole proprietorYes
NPI enumeratedAugust 10, 2017
Last updated in NPPESAugust 10, 2017
Mailing address712 Main St, Islip, NY 11751-3620

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice New York Spine Medicine And Surgery Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Patchogue