Robert Morris Dimiceli, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

NOO4223 Issued in NY

Practice address

666 10TH St
Brooklyn, NY 11215-4502

Phone

(718) 965-7188

Fax

(718) 768-7739

NPI assigned

Oct 1, 2006

Reactivated

Jan 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Robert M. Dimiceli

  • Podiatrist
  • Brooklyn, NY
  • NPI 1720276736
  NPD (past) Authorized official

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1679666937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 10TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-965-7188",
            "fax_number": "718-768-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 10TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154502",
            "telephone_number": "718-965-7188",
            "fax_number": "718-768-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMICELI",
        "first_name": "ROBERT",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2008-01-25",
        "deactivation_date": "2007-11-20",
        "reactivation_date": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "NOO4223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PIN",
            "identifier": "0003351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN",
            "identifier": "P1003380",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE PIN",
            "identifier": "00000050014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Dimassi, DC
• Adriana Dimatteo, PSYD
• Mariam Dimatteo
• Richard Dimatteo
• Irene Joyce Moog Dimatulac, M.S., CCC-SLP
• Ignazio James Dimino, P.A.
• Laura Dimino
• Marcella Dimino
• Rosa Dimino, RPH
• Roseanne Dimino, B.A. CHHC AADP

• Primary Podiatric Medicine Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.