Active NPI
James John Diresta, DPM, MPH
- Podiatrist
- Newburyport, MA
National Provider Identifier
1164460374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1523
- Practice address
- 37 1/2 Forrester St
Professional Building
Newburyport, MA 01950-1938 - Phone
- (978) 465-2122
- Fax
- (978) 465-0450
- NPI assigned
- Jun 2, 2006
- Last updated
- Oct 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1523 | MA | Primary |
Addresses
Primary practice location
37 1/2 Forrester St
Professional Building
Newburyport, MA 01950-1938
Mailing address
37 1/2 Forrester Street
Professional Building
Newburyport, MA 01950
Phone (978) 465-2122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y70643 | Other | MA | BLUE SHIELD |
| 702862 | Other | MA | TAHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1523 | MA | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Podiatrist
- Newburyport, MA
- NPI 1366707069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1164460374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 1/2 FORRESTER STREET",
"address_2": "PROFESSIONAL BUILDING",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "01950",
"telephone_number": "978-465-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 1/2 FORRESTER ST",
"address_2": "PROFESSIONAL BUILDING",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019501938",
"telephone_number": "978-465-2122",
"fax_number": "978-465-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRESTA",
"first_name": "JAMES",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPM, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "Y70643",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAHP",
"identifier": "702862",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.