Individual provider Active NPI

Diane Jaworski Petito, CPNP

  • Pediatric Nurse Practitioner
  • Hempstead, NY
National Provider Identifier
1598847980
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380742 Issued in NY
Practice address
201 President St
Hempstead High Health Center
Hempstead, NY 11550-4718
Phone
(516) 292-7111
Fax
(516) 292-4651
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 298429-1 NY
Pediatric Nurse Practitioner 363LP0200X F380742 NY Primary

Addresses

Primary practice location

201 President St
Hempstead High Health Center
Hempstead, NY 11550-4718

Mailing address

128 Dunwoodie Ave
West Islip, NY 11795-1934
Phone (631) 422-4585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpetito308680@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
298429-1NYMDRegistered Nurse
F380742NYMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: dpetito308680@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1598847980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 DUNWOODIE AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951934",
            "telephone_number": "631-422-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PRESIDENT ST",
            "address_2": "HEMPSTEAD HIGH HEALTH CENTER",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504718",
            "telephone_number": "516-292-7111",
            "fax_number": "516-292-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI PETITO",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "298429-1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpetito308680@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "201 President St",
            "address_2": "Hempstead High Health Center",
            "city": "Hempstead",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115504718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.