Gary James Dinezza, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

011753 Issued in NY

Practice address

80 Goodrich St
Buffalo, NY 14203-1005

Phone

(716) 859-2119

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1225092000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GOODRICH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031005",
            "telephone_number": "716-859-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GOODRICH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031005",
            "telephone_number": "716-859-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINEZZA",
        "first_name": "GARY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "011753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdinezza@ummc.org",
            "affiliation": "N",
            "address_1": "16 Bank St",
            "city": "Batavia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140202250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven C Dina, MD
• Cinnamon Rose Dinardo, LPN
• Diana Lynn Dinardo, LPN
• Robyn Dinderski
• Christina Dines, DPM
• Yi Ding, PHD, AGNP-C
• Aimee E Dingle, PT
• Huynh Thuy Tien Dinh, M.D.
• Tracey Paulin Dinicolantonio, M.S.,CCC-SLP
• Alina Dinse Patterson

• Clinical Neuropsychologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.