Diego G. Calabria Physician P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

267694 Issued in NY

Legal business name

DIEGO G. CALABRIA PHYSICIAN P.C.

Practice address

366 N Broadway Ste 304
Jericho, NY 11753-2000

Phone

(516) 698-9980

Fax

(516) 214-6331

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Diego Gennaro Calabria, MDNPI 1730424953

Title

MD/Owner

Phone

(516) 967-3583

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diego Gennaro Calabria, M.D.

  • Psychiatry Physician
  • Queens Village, NY
  • NPI 1730424953
  NPD (past) Authorized official

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1518478080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MAIN ST APT 3H",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY STE 304",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532000",
            "telephone_number": "516-698-9980",
            "fax_number": "516-214-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO G. CALABRIA PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "CALABRIA",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "GENNARO",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "516-967-3583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "267694",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "267694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03808826",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard M Delman
• Vivian Delman, RD
• Lois Ann Depasquale, MS, CCC/SLP
• Myles Ralph Desner, M.D.
• Diagnostics Global Inc.
• Tami Ditkoff
• Lindsay Divack
• Robert Dobek, M.S. ED.
• Lisa Marie Dobler, M.A.
• Tara Rae Doner, MHC-LP

• Psychiatry Physician in Jericho, NY
• Providers in Jericho, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.