Jennifer Diberardino, MSSPECED

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

297 Livermore Ave
Staten Island, NY 10314-3131

Phone

(917) 975-7899

NPI assigned

Jun 24, 2012

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

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578826566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 LIVERMORE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143131",
            "telephone_number": "917-975-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 LIVERMORE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143131",
            "telephone_number": "917-975-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBERARDINO",
        "first_name": "JENNIFER",
        "credential": "MSSPECED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Mary Dibello
• Arianna Dibenedetto
• Christopher Joseph Dibenedetto, FNP
• Elaina Ann Dibenedetto, LCSW
• Isabella Dibenedetto, PT
• Jeanette J Dibiase, SLP
• Nicole Marie Diblasi, M.S. OTR/L
• Karen Dibona-Scamardella, DDS
• Anna Dibona, MD
• Mark Dibuono, MD

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.