Diana Marie Fede, TEACHER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1787775 Issued in NY

Practice address

1071 Lakeshore Dr
Massapequa Park, NY 11762-2411

Phone

(516) 205-2676

NPI assigned

Oct 7, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1285037010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 LAKESHORE DR",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622411",
            "telephone_number": "516-205-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 LAKESHORE DR",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622411",
            "telephone_number": "516-205-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDE",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "credential": "TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "1787775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl J Falcone, OT
• Dorothy Fanara, NP
• John P Farrell
• Melissa Rosalie Fauvell
• Maureen Feasler
• Geraldine Anne Fedoronko
• Dawn Marie Felicetti, DMD
• Jeffrey D Felicetti, D.D.S.
• Jessica Feliciano
• Maureen Fennell, OTR/L

• Case Manager/Care Coordinator in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.