Diana D'Amelio, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001586 Issued in CT

Practice address

761 Main Ave
Suite 200
Norwalk, CT 06851-1080

Phone

(203) 750-7400

Fax

(203) 846-9579

NPI assigned

Nov 7, 2006

Last updated

Jan 1, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Illume Fertility, PLLC

  • Reproductive Endocrinology Physician
  • Norwalk, CT
  • NPI 1013086727
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420070400000",
    "number": "1669541314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 200",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-750-7400",
            "fax_number": "203-846-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 200",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-750-7400",
            "fax_number": "203-846-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMELIO",
        "first_name": "DIANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT STATE LICENSE",
            "identifier": "001586",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa A Cutillo-Schmitter, APRN
• Louis J Cuzzone, MD
• CVS Pharmacy
• Aneta Czarnowski
• Emily D'Adamo, ND
• Brittani D'Andrea, LCSW
• Christy Dabreo-Otero
• Ana K Dacosta, R.D.H.
• Leigh Damkohler, D.C.
• Dananuzzo Ma LCSW

• Physician Assistant in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2015; 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.