Dawn M Diecidue, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F420410 Issued in NY

Practice address

2500 Nesconset Highway
Building 23
Stony Brook, NY 11790

Phone

(631) 246-9100

Fax

(631) 246-9156

NPI assigned

May 2, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)
• Reproductive Specialists of New York

  • Reproductive Endocrinology Physician
  • Mineola, NY
  • NPI 1760706931
  NPD (past)
• University Associates in Obstetrics & Gynecology, University Faculty P

  • Obstetrics & Gynecology Physician
  • Stony Brook, NY
  • NPI 1538114723
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194947085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EVERIT PLACE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-724-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HIGHWAY",
            "address_2": "BUILDING 23",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-246-9100",
            "fax_number": "631-246-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIECIDUE",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F420410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Diamante, PHD
• John A. Diana, DDS
• Fernando Diaz Gonzalez Colmenero, MD
• Lara Michelle Dicarlo, PSYD
• Richard Dickinson, M.D.
• Janet Difalco, N.P.
• Christopher Difiore, DO
• Maria Assunta Difiore, P.A.
• Nicole C Difiore
• Cecilia T Diggin, DMD

• Nurse Practitioner in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.