Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Damien Anthony Decollibus, PA

Surgical Physician Assistant in New York, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114009115

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Mr. Damien Anthony Decollibus

Credential PA

Sex Male

Practice address 100 E 77th St, Division of Vascular Surgery, New York, NY, 10075

Phone (212) 434-4264

Fax (212) 434-4231

Enumeration date Oct 19, 2006

Last updated in NPPES Sep 10, 2008

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 010067 (NY) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
00246075	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1114009115 active?

Yes, as of the latest NPPES snapshot, NPI 1114009115 is active (record last updated 2008-09-10).

How do I verify Damien Decollibus's NPI record?

Cross-check NPI 1114009115 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Roland Rizzi Anesthesiology Physician · New York, NY NPI 1467458133 Gagarini Espino Diagnostic Radiology Physician · New York, NY NPI 1588657415 Amy Reichlin Neonatal-Perinatal Medicine Physician · New York, NY NPI 1881688158 Jack Ansell Hematology (Internal Medicine) Physician · New York, NY NPI 1679559652 Melissa Kramps Adult Health Nurse Practitioner · New York, NY NPI 1609846757 Robert Graham Internal Medicine Physician · New York, NY NPI 1730154402 Suhail Raoof Pulmonary Disease Physician · New York, NY NPI 1285693846 Jane Lee Diagnostic Radiology Physician · New York, NY NPI 1629033501

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-09-10.