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Deactivated NPI 1457473035 Deactivated / Inactive NPI Male Practitioner

Dr. Ralph Robert Squitieri , MD

General Practice • Jamaica, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ralph Squitieri has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 04, 2007
NPI Deactivation Date May 03, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Squitieri, MD was a registered General Practice practicing in Jamaica, NY. Throughout an active medical career spanning 16 years, Dr. Squitieri provided care at the practice location at ST JOHNS UNIVERSITY VINCENTIAN RESIDENCE until profile deactivation on 2023-05-03.

Practice Location & Contact Primary Location

Practice Address

St Johns University Vincentian Residence
8000 Utopia Parkway

Jamaica, NY 114390001

Telephone 7189906744
Fax 7189905724

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jamaica, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.7 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Jamaica, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 60-083848

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 03, 2023

Record deactivated on May 03, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at ST JOHNS UNIVERSITY VINCENTIAN RESIDENCE, 8000 UTOPIA PARKWAY, JAMAICA, NY 114390001 (Tel: 7189906744)

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Updated Business Mailing Address July 08, 2007

Registered at 16 CARISSA LN, GREENWICH, CT 068303117 (Tel: 2038610193)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RALPH SQUITIERI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #60-083848 in NY)

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Initial NPI Registration & Enumeration April 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457473035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2007
Last Update: July 08, 2007
Deactivation Date: May 03, 2023

Mailing Address

16 Carissa Ln

Greenwich, CT 068303117

Phone: 2038610193

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.