RANDY SCOTT D'AMICO, M.D. - NPI NUMBER 1376809582

Summary

Provider Name: RANDY SCOTT D'AMICO, M.D.

NPI Number: 1376809582

Clasification: Student in an Organized Health Care Education/Training Program (390200000X)

Address:
710 W 168TH ST
DEPARTMENT OF NEUROLOGICAL SURGERY
NEW YORK, NY
ZIP 10032

Phone Number: (212) 305-4118



Detailed Information

Randy Scott D'amico, M.D. is a student in an organized health care education/training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. The assigned NPI number for this provider is 1376809582 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

710 W 168TH ST
DEPARTMENT OF NEUROLOGICAL SURGERY
NEW YORK, NY
ZIP 10032-726
Phone: (212) 305-4118

The enumeration date for this NPI number is 4/2/2012 and was last updated on 4/2/2012.

Map - Location of Practice

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Taxonomy Codes

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 390200000X Student in an Organized Health Care Education/Training Program Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1376809582 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name D'AMICO The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name RANDY The first name of the provider, if the provider is an individual.
5 Provider Middle Name SCOTT The middle name of the provider, if the provider is an individual.
6 Provider Credential Text M.D. The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
7 Provider First Line Business Practice Location Address 710 W 168TH ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Second Line Business Practice Location Address DEPARTMENT OF NEUROLOGICAL SURGERY The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name NEW YORK The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name NY The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 100323726 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 2123054118 The telephone number associated with the location address of the provider being identified.
14 Provider Enumeration Date 4/2/2012 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 4/2/2012 The date that a record was last updated or changed.
16 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
17 Healthcare Provider Taxonomy Code 1 390200000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.