Elisabeth Mary Diamantopoulos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

031946 Issued in NY

Practice address

2583 31St St FL 2
Astoria, NY 11102-1748

Phone

(718) 728-9822

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Dermatology Care PC

  • Procedural Dermatology Physician
  • Astoria, NY
  • NPI 1255497269
  NPD (past)
• Astoria Dermatology P.C.

  • Procedural Dermatology Physician
  • Astoria, NY
  • NPI 1144142274
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1376373100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 BOYNTON AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901692",
            "telephone_number": "908-380-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 31ST ST FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021748",
            "telephone_number": "718-728-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Raritan Rd",
            "address_purpose": "LOCATION",
            "city": "Roselle",
            "state": "NJ",
            "postal_code": "072032446",
            "country_code": "US",
            "telephone_number": "908-224-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMANTOPOULOS",
        "first_name": "ELISABETH",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00866900",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "031946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Di Fiore, MD
• Reno G Di Scala, M.D.
• Diabetic Care RX LLC
• Andrew Dorian Diakiwski, MA, MED
• Irene Diakogeorgios, BS
• Diamond Vision Corp
• Sergio Diaz Manzano, NURSE PRACTITIONER
• Alexis Nicole Diaz, LCSW
• Melissa Diaz
• Yarisel Diaz, PSY.D

• Physician Assistant in Astoria, NY
• Providers in Astoria, 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 Jan 23, 2025; 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.