Diana Lucy Aldea, M.D.

Individual provider Active NPI Family Medicine Physician · East Moriches, NY

NPI 1669589909 · NPPES record last updated Jan 15, 2008

Key facts

NPI
1669589909
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
237768 (NY)
Practice address
516 Montauk Hwy
Suite 1
East Moriches, NY 11940-1225
Phone
(631) 874-2900
Fax
(631) 874-2948
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PC (739 clinicians)

Practice addresses (Care Compare)

48 Route 25a
Suite 7
Smithtown, NY 11787-1431
Phone (516) 627-5262

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital · West Islip, NY · CCN 330286

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060428000197 NY Practitioner - Family Practice 2163432691 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237768NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Memorial Hospital Medical Center Family Medicine Current
since May 26, 2017
Accepting new patients
Long Island Community Hospital at NYU Langone Health Current
since May 26, 2017
Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C Current
since Sep 24, 2020
Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients

Locations

515 Bellport Ave
Bellport, NY 11713
Phone (631) 227-6600

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

48 Route 25A
Ste 7
Smithtown, NY 11787
Phone (516) 478-4540

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 237768 NY Yes

Addresses

Primary practice location

516 Montauk Hwy
Suite 1
East Moriches, NY 11940-1225

Mailing address

516 Montauk Hwy
Suite 1
East Moriches, NY 11940-1225
Phone (631) 874-2900

Other providers in East Moriches, NY

All providers in East Moriches, NY · Family Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.