Organization Active NPI

Diane M Debenedetto

  • Internal Medicine Physician
  • Easthampton, MA
National Provider Identifier
1174786321
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39594 Issued in MA
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

Updated by the provider on Jul 8, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
N01755OtherMABCBS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.