Active NPI
Emma Dayangco Dizon, FNP
- Family Nurse Practitioner
- Auburn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336078-1
- Practice address
- 161 Genesee St Ste 203
Auburn, NY 13021-3498 - Phone
- (315) 255-0947
- Fax
- (315) 255-0942
- NPI assigned
- Feb 13, 2012
- Last updated
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F336078-1 | NY | Primary |
Addresses
Primary practice location
161 Genesee St Ste 203
Auburn, NY 13021-3498
Mailing address
60 Main Street
Port Byron, NY 13140-0359
Phone (315) 776-9700
Other practice location 1
14 Maiden Ln
Penn Yan, NY 14527-1208
Phone (315) 531-9102
Other practice location 2
37 W Garden St Ste 201
Auburn, NY 13021-2657
Phone (315) 567-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03508490 | Medicaid | NY |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Auburn Community Hospital
Practice addresses (Care Compare)
17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142
37 W Garden St
Suite 203
Auburn, NY 13021-2657
Phone (315) 567-0507
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.63 of 100
- Quality
- 64.83
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.68 of 100
- Quality
- 48.88
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 71.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336078-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients |
Locations
161 Genesee St
Ste 106
Auburn, NY 13021
Phone (315) 567-0540
161 Genesee St
Ste 203
Auburn, NY 13021
Phone (315) 255-0947
17 Lansing St
#C
Auburn, NY 13021
Phone (315) 567-0455
37 W Garden St
Ste 201
Auburn, NY 13021
Phone (315) 567-0777
37 W Garden St
Ste 203
Auburn, NY 13021
Phone (315) 253-6257
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1225659964
-
dba Auburn Orthopaedic Services
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1619240249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MAIN STREET",
"city": "PORT BYRON",
"state": "NY",
"postal_code": "131400359",
"telephone_number": "315-776-9700",
"fax_number": "315-776-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 GENESEE ST STE 203",
"city": "AUBURN",
"state": "NY",
"postal_code": "130213498",
"telephone_number": "315-255-0947",
"fax_number": "315-255-0942"
}
],
"practiceLocations": [
{
"address_1": "14 Maiden Ln",
"address_purpose": "LOCATION",
"city": "Penn Yan",
"state": "NY",
"postal_code": "145271208",
"country_code": "US",
"telephone_number": "315-531-9102",
"fax_number": "315-531-9103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37 W Garden St Ste 201",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "NY",
"postal_code": "130212657",
"country_code": "US",
"telephone_number": "315-567-0777",
"fax_number": "315-702-8393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIZON",
"first_name": "EMMA",
"middle_name": "DAYANGCO",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336078-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03508490",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.