Christopher Joseph Dibenedetto, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349411 Issued in NY

Practice address

146 Sandalwood Dr
Staten Island, NY 10308-1848

Phone

(347) 733-4657

NPI assigned

Feb 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1437858743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SANDALWOOD DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081848",
            "telephone_number": "347-733-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SANDALWOOD DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081848",
            "telephone_number": "347-733-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBENEDETTO",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Linda Diaz, PNP
• Nicholas Anthony Diaz, DDS
• Christina Dibella
• Jaclyn Mary Dibello
• Arianna Dibenedetto
• Elaina Ann Dibenedetto, LCSW
• Isabella Dibenedetto, PT
• Jennifer Diberardino, MSSPECED
• Jeanette J Dibiase, SLP
• Nicole Marie Diblasi, M.S. OTR/L

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.