Jeanette J Dibiase, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016872 Issued in NY

Practice address

234 Ionia Ave
Staten Island, NY 10312-3552

Phone

(917) 859-8372

NPI assigned

Sep 29, 2009

Sex

Female

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1568796209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 IONIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123552",
            "telephone_number": "917-859-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 IONIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123552",
            "telephone_number": "917-859-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Darnell Ln",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103091955",
            "country_code": "US",
            "telephone_number": "917-859-8372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBIASE",
        "first_name": "JEANETTE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Dibenedetto
• Christopher Joseph Dibenedetto, FNP
• Elaina Ann Dibenedetto, LCSW
• Isabella Dibenedetto, PT
• Jennifer Diberardino, MSSPECED
• Nicole Marie Diblasi, M.S. OTR/L
• Karen Dibona-Scamardella, DDS
• Anna Dibona, MD
• Mark Dibuono, MD
• Kayla Dicaprio

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.