Marc Joshua Diener, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

68017465 Issued in NY

Practice address

1800 Rockaway Ave
Suite 206a
Hewlett, NY 11557-1665

Phone

(646) 246-1662

Fax

(646) 871-0203

NPI assigned

Nov 5, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 10, 2017 through May 10, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1255632337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ROCKAWAY AVE",
            "address_2": "SUITE 206A",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571665",
            "telephone_number": "646-246-1662",
            "fax_number": "646-871-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ROCKAWAY AVE",
            "address_2": "SUITE 206A",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571665",
            "telephone_number": "646-246-1662",
            "fax_number": "646-871-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENER",
        "first_name": "MARC",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-05",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "68017465",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Deluca
• Lianne C Demieri, L.AC.
• Jane Deriquito
• Toni Deutschman, M.S.C.C.C./SLP
• Matthew A. Diament, M.D.
• Donald B. Feinsod, M.D.,P.C.
• Dr Chana Perl PLLC
• Dr Levin Goldmann Ezra
• Dr Marc L Bendeth
• Dr. David N Lifschutz, MD

• Psychologist in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.