Individual provider Active NPI

George Dirago, MD

  • Emergency Medicine Physician
  • Hartsdale, NY
National Provider Identifier
1043287873
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA03904700 Issued in NJ
Practice address
359 N Central Ave
Hartsdale, NY 10530-1811
Phone
(914) 448-2273
Fax
(914) 448-2200
NPI assigned
Mar 1, 2006
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA03904700 NJ Primary

Addresses

Primary practice location

359 N Central Ave
Hartsdale, NY 10530-1811

Mailing address

359 N Central Ave
Hartsdale, NY 10530-1811
Phone (914) 448-2273

Other identifiers 1

IdentifierTypeStateIssuer
0151408MedicaidNJ

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070312000457 NY Practitioner - Emergency Medicine 5890703110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Practice addresses (Care Compare)

359 N Central Ave
Hartsdale, NY 10530-1811
Phone (914) 448-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Medical Services PLLC CurrentSince Sep 1, 2018 Accepting new patients
Urgent Care Physician of New York-Hartsdale PLLC CurrentSince Feb 1, 2011 Accepting new patients
Hackettstown Emergency Associates Emergency Medicine Past Accepting new patients
Essex Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Hoboken Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Locations

359 N Central Ave
Hartsdale, NY 10530
Phone (914) 448-2273

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1043287873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 N CENTRAL AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301811",
            "telephone_number": "914-448-2273",
            "fax_number": "914-448-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N CENTRAL AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301811",
            "telephone_number": "914-448-2273",
            "fax_number": "914-448-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRAGO",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA03904700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.