Eric a. Diamond MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

141261 Issued in NY

Legal business name

ERIC A. DIAMOND MD PC

Practice address

8 Shannon Dr
Woodbury, NY 11797-1227

Phone

(631) 271-9151

Fax

(631) 271-9155

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie Omedes

Title

Billing Manager

Phone

(631) 271-9151

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1386896827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SHANNON DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971227",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SHANNON DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971227",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC A. DIAMOND MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "OMEDES",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-271-9151",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "141261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00797360",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.