Dina Dicenso

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342265 Issued in NY

Practice address

210 Montrose Ave
Brooklyn, NY 11206-2351

Phone

(718) 417-1117

Fax

(718) 417-1119

NPI assigned

Sep 15, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: ddicenso575160@nychhc.direct-ci.com

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

• Brooklyn Family Health NP & RN PLLC

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1679094551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1033638523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 47TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201311",
            "telephone_number": "917-679-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MONTROSE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112062351",
            "telephone_number": "718-417-1117",
            "fax_number": "718-417-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICENSO",
        "first_name": "DINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Dicamillo, RN
• Danielle Dicamillo, LMSW
• Marisa Marie Dicamillo
• Richard Joseph Dicasoli, MD
• Alexandria Dicaterino
• Cheri Ann Dicerbo, LMSW
• Danielle Marie Dicesare, NP
• Jeffrey Marc Dick, M.D
• Natiesha Tamue Dickenson-Latham, MACCCSLP
• Phyllis Deborah Dicker, MSW LCSW

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.