Organization Active NPI

Diplomate Medical Care, PLLC

  • Specialist
  • Brentwood, NY
National Provider Identifier
1285952812
Registry record updated May 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
495578 Issued in NY
Legal business name
DIPLOMATE MEDICAL CARE, PLLC
Practice address
14 Washington Ave
Suite 2
Brentwood, NY 11717-3247
Phone
(631) 575-6430
Fax
(631) 617-5576
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2010

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

Authorized official

Name
Mr. Mehdi Zafarnia
Title
Owner
Phone
(631) 575-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 495578 NY Primary

Addresses

Primary practice location

14 Washington Ave
Suite 2
Brentwood, NY 11717-3247

Mailing address

14 Washington Ave
Suite 2
Brentwood, NY 11717-3247
Phone (631) 575-6430

Other identifiers 1

IdentifierTypeStateIssuer
495578OtherNYTHE JOINT COMMISSION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273276800000",
    "number": "1285952812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WASHINGTON AVE",
            "address_2": "SUITE 2",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173247",
            "telephone_number": "631-575-6430",
            "fax_number": "631-617-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WASHINGTON AVE",
            "address_2": "SUITE 2",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173247",
            "telephone_number": "631-575-6430",
            "fax_number": "631-617-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPLOMATE MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-08",
        "status": "A",
        "authorized_official_last_name": "ZAFARNIA",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-575-6430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "495578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISSION",
            "identifier": "495578",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2010; 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.