Individual provider Active NPI

Irismarie Dimartino, SPECIAL EDUCATION

  • Specialist
  • Staten Island, NY
National Provider Identifier
1134693377
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
4131 Richmond Ave FL 2
Staten Island, NY 10312-5633
Phone
(718) 351-0308
Fax
(718) 966-1864
NPI assigned
Jan 21, 2019
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

4131 Richmond Ave FL 2
Staten Island, NY 10312-5633

Mailing address

372 Peter Ave
Staten Island, NY 10306-4614
Phone (917) 816-3290

Other identifiers 1

IdentifierTypeStateIssuer
AHZ-106470001OtherNYMERCER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1134693377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 PETER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064614",
            "telephone_number": "917-816-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 RICHMOND AVE FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125633",
            "telephone_number": "718-351-0308",
            "fax_number": "718-966-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARTINO",
        "first_name": "IRISMARIE",
        "credential": "SPECIAL EDUCATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCER",
            "identifier": "AHZ-106470001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.