Individual provider Active NPI

Giana Vivian Dalben, MD

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1447755285
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
311709 Issued in NY
Practice address
903 W Martin St
San Antonio, TX 78207-0903
Phone
(210) 358-3650
Fax
(210) 358-3799
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 311709 NY
Dermatology Physician 207N00000X 311709 NY Primary

Addresses

Primary practice location

903 W Martin St
San Antonio, TX 78207-0903

Mailing address

6 Lowell Ave
New Hyde Park, NY 11040-2810
Phone (516) 326-4160

Other practice location 1

2640 Merrick Rd
Bellmore, NY 11710-5715
Phone (516) 537-9064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708000956 NY Practitioner - Family Practice 9638428261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

366 Veterans Memorial Hwy
Commack, NY 11725-4387
Phone (631) 499-1200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions789
Removal of nail tissue1-10
Removal or shaving of skin growth12
Skin biopsy356

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology PC Dermatology CurrentSince May 1, 2023 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Jan 10, 2022 Accepting new patients
Precision Pharmacy Inc. PastSince Jul 1, 2021 Accepting new patients
Anthony Buglino DO PLLC Past Accepting new patients
Howard D. Solomon, DO, PC Dermatology Past Accepting new patients
Pain Management Specialists PastSince Feb 7, 2021 Accepting new patients

Locations

148 Merrick Rd
Amityville, NY 11701
Phone (631) 789-2556

449 N State Rd
Ste 203
Briarcliff Manor, NY 10510
Phone (914) 488-8188

366 Veterans Memorial Hwy
Commack, NY 11725
Phone (631) 499-1200

10460 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Phone (718) 275-5555

3751 82nd St
Jackson Heights, NY 11372
Phone (718) 829-9000

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

150 Sunrise Hwy
Ste 109
Lindenhurst, NY 11757
Phone (631) 957-3737

265 W Park Ave
Long Beach, NY 11561
Phone (516) 431-2727

6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

111 S Ridge St
Ste 200
Rye Brook, NY 10573
Phone (914) 937-5500

4 Technology Dr
Ste 180
Setauket, NY 11733
Phone (631) 587-1132

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: gdalben@advderm.emadirect.md
  • Direct secure messaging: gdalben506391@uhssa.direct-ci.com

Organizations & group practices 6

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1447755285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOWELL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402810",
            "telephone_number": "516-326-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "210-358-3650",
            "fax_number": "210-358-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117105715",
            "country_code": "US",
            "telephone_number": "516-537-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALBEN",
        "first_name": "GIANA",
        "middle_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "311709",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "311709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.