What is Dominick Distasio's NPI number?

Dominick Distasio's National Provider Identifier (NPI) is 1740714930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dominick Distasio's specialty?

Dominick Distasio is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Dominick Distasio located?

Dominick Distasio's practice location on file with NPPES is 11 Route 111, Smithtown, NY 11787-3754.

What is Dominick Distasio's phone number?

The practice phone number listed in the NPPES registry for Dominick Distasio is (631) 920-8028.

Is Dominick Distasio's NPI active?

Yes — Dominick Distasio's NPI (1740714930) is active in the NPPES registry as of the last update on 2017-04-14.

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Dominick Distasio

NPI 1740714930 · Case Manager/Care Coordinator · Smithtown, NY

Dominick Distasio is a Case Manager/Care Coordinator provider in Smithtown, NY (NPI 1740714930).

Provider details

NPI number: 1740714930
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Male
Sole proprietor: Yes

Practice location

11 Route 111

Smithtown, NY 11787-3754

Phone: (631) 920-8028

Street-level locationGet directions

More NY providers

Mailing address

5 Hudson Dr

Kings Park, NY 11754-4411

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2017-04-14
Last updated: 2017-04-14

Frequently asked questions

What is Dominick Distasio's NPI number?: Dominick Distasio's National Provider Identifier (NPI) is 1740714930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Dominick Distasio's specialty?: Dominick Distasio is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
Where is Dominick Distasio located?: Dominick Distasio's practice location on file with NPPES is 11 Route 111, Smithtown, NY 11787-3754.
What is Dominick Distasio's phone number?: The practice phone number listed in the NPPES registry for Dominick Distasio is (631) 920-8028.
Is Dominick Distasio's NPI active?: Yes — Dominick Distasio's NPI (1740714930) is active in the NPPES registry as of the last update on 2017-04-14.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions