Active NPI
Diane M Debenedetto
- Internal Medicine Physician
- Easthampton, MA
National Provider Identifier
1174786321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39594
- Legal business name
- DIANE M DEBENEDETTO
- Practice address
- 132 Cottage Street
Easthampton, MA 01027 - Phone
- (413) 527-7952
- Fax
- (413) 529-0603
- NPI assigned
- Jul 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Marie Debenedetto, MD
- Title
- Owner
- Phone
- (413) 527-7952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39594 | MA | Primary |
Addresses
Primary practice location
132 Cottage Street
Easthampton, MA 01027
Mailing address
132 Cottage Street
Easthampton, MA 01027
Phone (413) 527-7952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N01755 | Other | MA | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1174786321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 COTTAGE STREET",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "01027",
"telephone_number": "413-527-7952",
"fax_number": "413-529-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 COTTAGE STREET",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "01027",
"telephone_number": "413-527-7952",
"fax_number": "413-529-0603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANE M DEBENEDETTO",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "DEBENEDETTO",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "413-527-7952",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "39594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "N01755",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easthampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.