Individual provider Active NPI

Michael Dinizo, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • New York, NY
National Provider Identifier
1316393184
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
25MA11564700 Issued in NJ
Practice address
550 1St Ave
New York, NY 10016-6402
Phone
(212) 263-5506
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery of the Spine Physician 207XS0117X 25MA11564700 NJ Primary

Addresses

Primary practice location

550 1St Ave
New York, NY 10016-6402

Mailing address

340 E 23Rd St
Apt 11H
New York, NY 10010-4751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220914000804 NJ Practitioner - Orthopedic Surgery 9335430594 Reassigns benefits to 1 organization
I20221114000830 NY Practitioner - Orthopedic Surgery 9335430594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Kayal Orthopaedic, PLLCGroup PAC ID 7911385950, 16 clinicians
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

11 Holt Dr
Stony Point, NY 10980-1919
Phone (845) 942-4355

260 Old Hook Rd
Suite 401
Westwood, NJ 07675-3123
Phone (844) 777-0910

266 Harristown Rd
Glen Rock, NJ 07452-3321
Phone (844) 777-0910

300 Kakeout Rd
Kinnelon, NJ 07405-2548
Phone (201) 560-0711

305 W Grand Ave
Suite 500
Montvale, NJ 07645-1813
Phone (201) 560-0711

543 45TH St
Union City, NJ 07087-2615
Phone (844) 777-0910

7 E Main St
Ramsey, NJ 07446-1922
Phone (201) 560-0711

784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion69
Laminectomy or laminotomy (partial removal of spine bones)33
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305586NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Medical Group, LLC Orthopaedic Surgery of the Spine CurrentSince Sep 1, 2022 Accepting new patients
Kayal Orthopaedic, PLLC Orthopaedic Surgery of the Spine CurrentSince Oct 17, 2022 Accepting new patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients

Locations

519 Broadway
Ste 3700
Bayonne, NJ 07002
Phone (201) 942-4540

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

266 Harristown Rd
Ste 100
Glen Rock, NJ 07452
Phone (201) 251-7725

266 Harristown Rd
Ste 107
Glen Rock, NJ 07452
Phone (201) 560-0711

300 Kakeout Rd
Kinnelon, NJ 07405
Phone (973) 838-6252

12 Goffle Rd
Midland Park, NJ 07432
Phone (201) 447-2570

305 W Grand Ave
Ste 500
Montvale, NJ 07645
Phone (201) 391-8282

9226 Kennedy Blvd
Ste 2
North Bergen, NJ 07047
Phone (201) 861-4447

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

185 N State Rt 17
Paramus, NJ 07652

7 E Main St
Ramsey, NJ 07446
Phone (201) 327-1400

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

260 Old Hook Rd
Ste 401
Westwood, NJ 07675
Phone (201) 560-0711

16 Squadron Blvd
Ste 102
New City, NY 10956
Phone (845) 634-2225

11 Holt Dr
Stony Point, NY 10980
Phone (845) 942-4355

11 Holt Dr
Ste 101
Stony Point, NY 10980

Interoperability endpoints

  • Direct secure messaging: mdinizo824349@ahs.direct-ci.com
  • Direct secure messaging: michael.dinizo@ko.eclinicaldirectplus.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1316393184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 23RD ST",
            "address_2": "APT 11H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINIZO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA11564700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.