Individual provider Active NPI

Vasilios Theodoros Diamantopoulos, M.D.

  • Emergency Medicine Physician
  • Westfield, NJ
National Provider Identifier
1184718371
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA06113100 Issued in NJ
Practice address
1018 Boynton Ave
Westfield, NJ 07090-1692
Phone
(908) 518-1593
Fax
(973) 989-3092
NPI assigned
Oct 3, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA06113100 NJ Primary

Addresses

Primary practice location

1018 Boynton Ave
Westfield, NJ 07090-1692

Mailing address

1018 Boynton Ave
Westfield, NJ 07090-1692
Phone (908) 518-1593

Other identifiers 1

IdentifierTypeStateIssuer
7046502MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000427 NJ Practitioner - Emergency Medicine 8426940693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.47 of 100Reported as group
Quality
87.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of St Marys LLC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Pinnacle Emergency Physicians Associates LLC Emergency Medicine CurrentSince Mar 24, 2016 Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1184718371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 BOYNTON AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901692",
            "telephone_number": "908-518-1593",
            "fax_number": "973-989-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 BOYNTON AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901692",
            "telephone_number": "908-518-1593",
            "fax_number": "973-989-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANTOPOULOS",
        "first_name": "VASILIOS",
        "middle_name": "THEODOROS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06113100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7046502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.