Marleena Dimaggio, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

002758 Issued in CT

Practice address

501 Kings Hwy E Ste 106
Fairfield, CT 06825-4871

Phone

(203) 819-1203

Fax

(203) 819-1203

NPI assigned

Aug 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prima Primary Care and Wellness LLCGroup PAC ID 3678923711, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marleena.dimaggio.1@30331.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ABEAED/Endpoint/ABEAED

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.

• Prima Primary Care and Wellness LLC

  • Family Medicine Physician
  • Fairfield, CT
  • NPI 1962278440
  Medicare reassignment Care Compare group NPD Authorized official
• Optimus Health Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgeport, CT
  • NPI 1992871875
  NPD (past)
• Optimus Health Care Inc

  dba Hollow Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, CT
  • NPI 1215207782
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1992910152
  Care Compare affiliation

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1194727172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KINGS HWY E STE 106",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254871",
            "telephone_number": "203-819-1203",
            "fax_number": "203-819-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KINGS HWY E STE 106",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254871",
            "telephone_number": "203-819-1203",
            "fax_number": "203-819-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAGGIO",
        "first_name": "MARLEENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Huruta Dias, MD
• Charmaine Diaz, MSN APRN FNP-BC
• Eugenia Diaz
• Terri C Dierkes, LMSW
• Ryan John Dillon, APRN
• Discovery Practice Management, Inc (Center For Discovery, Fairfield)
• Discovery Practice Management, Inc (Discovery Mood & Anxiety Program, Fairfield)
• Discovery Practice Management, Inc. (Center For Discovery, Wellington)
• Divine Dentistry PC (Divine Dentistry at Fairfield)
• Renee Patrice Divine

• Nurse Practitioner in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.
• 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.