Diana Devito-Stewart, L.M.T

Primary specialty

SpecialistTaxonomy code 174400000X

License

027428 Issued in NY

Practice address

6 S Jersey Ave
East Setauket, NY 11733-2021

Phone

(516) 605-4868

NPI assigned

Mar 16, 2017

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

Other names 1

• Diana Om-Shanti Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1104367606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BROADWAY",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789796",
            "telephone_number": "516-605-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S JERSEY AVE",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332021",
            "telephone_number": "516-605-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVITO-STEWART",
        "first_name": "DIANA",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "027428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "OM-SHANTI",
            "credential": "L.M.T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauren Victoria Deniro, MD
• Michele Christine Deprima, LMT
• Letitia Desciscio
• Eric Deutsch, DPT
• Jessica Deutsch
• Hargovind Singh Dewal, MD
• Sunil K. Dhuper, M.D.
• Erica Di Maulo Weber
• Dialysis Clinic Inc.
• Antonietta Dicicco, NP

• Specialist in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.