Individual provider Active NPI

Richard Marc Diamond, MD

  • Hematology & Oncology Physician
  • Cornwall, NY
National Provider Identifier
1316053952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
136654 Issued in NY
Practice address
164 Willow Ave
Cornwall, NY 12518-1329
Phone
(845) 534-3888
Fax
(845) 534-4208
NPI assigned
Aug 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 136654 NY Primary

Addresses

Primary practice location

164 Willow Ave
Cornwall, NY 12518-1329

Mailing address

164 Willow Ave
Cornwall, NY 12518-1329
Phone (845) 534-3888

Other identifiers 1

IdentifierTypeStateIssuer
00913855MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110715000502 NY Practitioner - Hematology/Oncology 0143222703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
New York Medical College, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

164 Willow Ave
Cornwall, NY 12518-1329
Phone (845) 534-3888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Hematology-Oncology PLLC Hematology & Oncology CurrentSince Jun 1, 2011 Accepting new patients
Mid Hudson Hematology Oncology PC Hematology & Oncology PastSince Mar 1, 2009 Accepting new patients

Locations

164 Willow Ave
Cornwall, NY 12518
Phone (845) 534-3888

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316053952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WILLOW AVE",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181329",
            "telephone_number": "845-534-3888",
            "fax_number": "845-534-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WILLOW AVE",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181329",
            "telephone_number": "845-534-3888",
            "fax_number": "845-534-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "RICHARD",
        "middle_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "136654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00913855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

Verify at the official NPI Registry.