Active NPI
Barry Lawrence Diener, M.D.
- Pediatric Pulmonology Physician
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 274091
- Practice address
- 4 Technology Dr
East Setauket, NY 11733-4080 - Phone
- (631) 444-8340
- Fax
- (631) 444-6045
- NPI assigned
- Jul 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | MD441936 | PA | |
| Pediatric Pulmonology Physician | 2080P0214X | 274091 | NY | Primary |
Addresses
Primary practice location
4 Technology Dr
East Setauket, NY 11733-4080
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-8014
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- New York Medical College, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-3407
Phone (631) 444-7653
2701 Sunrise Hwy
Islip Terrace, NY 11752-2642
Phone (631) 638-2375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274091 | NY | MD | Pediatric Pulmonology Physician |
| MD441936 | PA | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Children'S Service, University Faculty Practice Corporatio | Current | Accepting new patients | |
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Past | Accepting new patients | |
| Neurology Associates of Stony Brook, University Faculty Practice Corpo | Past | Accepting new patients |
Locations
500 Commack Rd
Ste 104
Commack, NY 11725
Phone (631) 638-0150
2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300
4 Smith Haven Mall
Ste 101
Lake Grove, NY 11755
Phone (631) 444-7337
4 Technology Dr
Setauket, NY 11733
Phone (631) 444-2700
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- barry.diener@direct.stonybrookmedicine.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- Neurology Physician
- Stony Brook, NY
- NPI 1699720888
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1629366372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989",
"telephone_number": "631-444-8014",
"fax_number": "631-444-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 TECHNOLOGY DR",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334080",
"telephone_number": "631-444-8340",
"fax_number": "631-444-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIENER",
"first_name": "BARRY",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-15",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "PA",
"license": "MD441936",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NY",
"license": "274091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.