Individual provider Active NPI

Diodato Villamena Jr., MD

  • Hematology & Oncology Physician
  • Bronxville, NY
National Provider Identifier
1376511535
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
114402 Issued in NY
Practice address
1 Stone PL
Suite 302
Bronxville, NY 10708-3426
Phone
(914) 779-9590
Fax
(914) 652-0052
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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 114402 NY Primary

Addresses

Primary practice location

1 Stone PL
Suite 302
Bronxville, NY 10708-3426

Mailing address

1 Stone PL
Suite 302
Bronxville, NY 10708-3426
Phone (914) 779-9590

Other identifiers 1

IdentifierTypeStateIssuer
00209421MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diodato Villamena MD Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1376511535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STONE PL",
            "address_2": "SUITE 302",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083426",
            "telephone_number": "914-779-9590",
            "fax_number": "914-652-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STONE PL",
            "address_2": "SUITE 302",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083426",
            "telephone_number": "914-779-9590",
            "fax_number": "914-652-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMENA",
        "first_name": "DIODATO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "114402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00209421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.