Diane Deluca-Patwell, C-PED

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

400 Montauk Hwy
Suite 113
West Islip, NY 11795-4429

Phone

(631) 321-1666

Fax

(631) 321-1666

NPI assigned

Jul 18, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Living Comfort Footwear LTD

  dba Living Comfort Footwear

  • Durable Medical Equipment & Medical Supplies
  • West Islip, NY
  • NPI 1124213806
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003815556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ARGYLE AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022600",
            "telephone_number": "631-669-0721",
            "fax_number": "631-539-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MONTAUK HWY",
            "address_2": "SUITE 113",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954429",
            "telephone_number": "631-321-1666",
            "fax_number": "631-321-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA-PATWELL",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "C-PED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip D Degaetano, D.O.
• Cathleen Degarmo
• Melissa E Deleski, RPA-C
• Michele Delgado
• Anthony Delicce, MD
• Danielle Denaro, NP
• Dermatologic Procedures of Suffolk County
• Meghan E Derocchis, NP
• Nicole Desane
• Elizabeth Anne Desantis, N.P.

• Contractor in West Islip, NY
• Providers in West Islip, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.