Diabetes & Endocrinology Consultants, PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

173152 Issued in NY

Legal business name

DIABETES & ENDOCRINOLOGY CONSULTANTS, PC

Practice address

2 Crosfield Ave
Suite 204
West Nyack, NY 10994-2226

Phone

(845) 358-6266

Fax

(845) 358-7872

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kamini Shreedhar, M.D.

Title

President

Phone

(845) 358-6266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Hope Charles, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • West Nyack, NY
  • NPI 1588012413
  Medicare reassignment Care Compare group NPD
• Alan Dresner, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Nyack, NY
  • NPI 1316911654
  Medicare reassignment Care Compare group NPD
• Brian Keith Golden, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Nyack, NY
  • NPI 1558334102
  Medicare reassignment Care Compare group NPD
• Matthew Vito Potenza, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Nyack, NY
  • NPI 1356509855
  Medicare reassignment Care Compare group NPD
• Enzo A Ragucci, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Nyack, NY
  • NPI 1205803640
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1184764359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 204",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-358-6266",
            "fax_number": "845-358-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 204",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-358-6266",
            "fax_number": "845-358-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES & ENDOCRINOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "SHREEDHAR",
        "authorized_official_first_name": "KAMINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-358-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "173152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Del Rosario
• Lauren J Delucia
• Mary Anne Dempsey, M.S., CCC-SLP/TSSLD
• William Desiena, LCSW
• Karolyn Lee Devaney, RN
• Peter Cecil Taylor Dickinson, M.D.
• Gina L Dicostanzo, NP
• Andrea-Jo Difiore-Kass, RPH
• Janice Digiacomo, ATC
• Amado V Dolorico, M.D.

• Legal Medicine in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.