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Export Provider Record NPI 1255386959
Philip Fortunato SpadaforaDO
Active
NPI Number1255386959
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1255386959
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-05-23
Last Updated2024-05-15
Mailing Address901 Stewart Ave, Ste 275
Garden City, NY 11530
United States
Phone: (516) 877-1518 | Fax: (516) 877-1561
📍 View Map
Primary Practice Address901 Stewart Ave, Ste 275
Garden City, NY 11530
United States
Phone: (516) 877-1518 | Fax: (516) 877-1561
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineNY1878871
Export Provider Record NPI 1255386959
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About NPI 1255386959

Philip Fortunato Spadafora DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1255386959. The primary specialty listed is Internal Medicine. The provider is located in Garden City, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1255386959?

NPI 1255386959 belongs to Philip Fortunato Spadafora DO, a Internal Medicine in Garden City, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1255386959 active?

The current status of NPI 1255386959 in the NPPES registry is Active. The record was last updated on 2024-05-15.

What specialty is NPI 1255386959?

NPI 1255386959 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1255386959?

You can verify NPI 1255386959 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1255386959?

The primary practice address on file for NPI 1255386959 is 901 Stewart Ave, Garden City, NY 11530. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1255386959 issued?

NPI 1255386959 was first issued (enumerated) on 2006-05-23. The NPPES record was last updated on 2024-05-15.

Practice Location Map

Philip Fortunato Spadafora is located at 901 Stewart Ave, Garden City, NY. Use the map below to find directions or verify the practice location.

📍 901 Stewart Ave, Garden City, NY 11530  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Philip Fortunato Spadafora. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1255386959. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine1878871NY
Data Verified from CMS NPPES Last synced: 2026-07-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162