John F Dimitri, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

009881 Issued in NY

Practice address

11 Carleton Ave
East Islip, NY 11730-2108

Phone

(631) 224-7474

Fax

(631) 224-8940

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John F. Dimitri, DC, PLLC

  • Chiropractor
  • East Islip, NY
  • NPI 1336347442
  Medicare reassignment NPD Authorized official
• Lisa Dimitri LCSW PLLC

  • Clinical Social Worker
  • Oakdale, NY
  • NPI 1396430328
  NPD (past)
• South Shore Counseling LCSW, PLLC

  • Clinical Social Worker
  • Oakdale, NY
  • NPI 1306551080
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447307616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BILTMORE AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691157",
            "telephone_number": "631-750-3824",
            "fax_number": "631-224-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CARLETON AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302108",
            "telephone_number": "631-224-7474",
            "fax_number": "631-224-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRI",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "009881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mary Demers, M.A. CCC, SLP
• Vikas V Desai, MD
• Michael John Desivo, D.D.S.
• Kaitlin Dibella, MHC
• Daley Dicorcia, LCSW
• Shannon Marie Dipaola
• Richard Domozych, DDS
• Robert Anthony Domozych Jr., DMD
• Joseph E Donaghy
• Wishny Etienne Dormay, LPN

• Rehabilitation Chiropractor in East Islip, NY
• Providers in East Islip, NY by specialty
• Rehabilitation Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.