IndividualActive
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
Specialties & taxonomies
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.
Practice location
11 Route 111
Smithtown, NY 11787-3754
Phone: (631) 920-8028
Street-level locationGet directions
Mailing address
5 Hudson Dr
Kings Park, NY 11754-4411
Registry dates
- 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.