Diana M. Murillo, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

020410 Issued in NY

Practice address

373 Route 111 Ste 7
Smithtown, NY 11787-4759

Phone

(631) 360-7450

Fax

(631) 360-7455

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Medical Professionals PLLCGroup PAC ID 6406868462, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dianamurillo@imppllc.allscriptsdirect.net

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.

• Integrated Medical Professionals PLLC

  • Urology Physician
  • Lake Success, NY
  • NPI 1346203536
  Medicare reassignment Care Compare group NPD
• Integrated Medical Professionals PLLC

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
  • NPI 1295534626
  NPD
• Mark Medical Care Nassau PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1609252907
  NPD (past)
• Radiology Interpretation Technology PLLC

  • Specialist
  • Ridgewood, NY
  • NPI 1700476462
  NPD (past)

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

• St. Catherine of Siena Medical Center

  • General Acute Care Hospital
  • Smithtown, NY
  • NPI 1982663423
  Care Compare affiliation

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1326588062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY STE 500",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579226",
            "telephone_number": "315-362-5129",
            "fax_number": "315-362-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 ROUTE 111 STE 7",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874759",
            "telephone_number": "631-360-7450",
            "fax_number": "631-360-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Hicksville Rd",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117143415",
            "country_code": "US",
            "telephone_number": "631-901-3313",
            "fax_number": "516-796-2303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hollow Ln Ste 206",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421215",
            "country_code": "US",
            "telephone_number": "516-931-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "DIANA",
        "middle_name": "M.",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04719691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Muilenburg, ANP
• Marco Frank Mulder, P.T.
• Vincent Mule
• Katie E Mullen
• Daniella Christiane Munteanu, M.D.
• Joann Murolo, LMSW
• Judith Murphy, NP
• Juliann Murphy, RN
• Karyn Murphy, LMSW
• Madalyn Lucille Murphy

• Physician Assistant in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.