MRS. MELISSA D'AMATO PA-C NPI 1023083292

NPI Information

NPI: 1023083292
Provider Name: MRS. MELISSA D'AMATO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
140 HAZARD AVE STE 105
ENFIELD, CT
ZIP 06082
Phone: (860) 714-9733
Get Directions

MRS. Melissa D'amato, PA-C is a medical physician assistant in Enfield, CT with 19 years of experience. MRS. Melissa D'amato, PA-C NPI is 1023083292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140 HAZARD AVE STE 105
ENFIELD, CT
ZIP 06082-424
Phone: (860) 714-9733
Fax: (860) 714-8136

The NPI 1023083292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 8/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		010711-1	NEW YORK	No
2	363A00000X	Physician Assistant		004904	CONNECTICUT	No
3	363AM0700X	Physician Assistant	Medical	PA9104557	FLORIDA	No
4	363AS0400X	Physician Assistant	Surgical	4904	CONNECTICUT	No
5	363AM0700X	Physician Assistant	Medical	4904	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000728800	MEDICAID	FLORIDA
2	685778036A	MEDICAID	FLORIDA
3	RAILROAD MEDICARE	OTHER	GEORGIA	P00727972

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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