Diane D'Isidori, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

029150 Issued in CT

Practice address

120 Park Lane Rd
Suite A101
New Milford, CT 06776-2444

Phone

(860) 355-8190

Fax

(860) 355-3856

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Candlewood Valley Pediatrics, P.C.

  • Pediatrics Physician
  • New Milford, CT
  • NPI 1811021066
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1710434840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PUTNAM RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067765332",
            "telephone_number": "203-788-5538",
            "fax_number": "860-355-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARK LANE RD",
            "address_2": "SUITE A101",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762444",
            "telephone_number": "860-355-8190",
            "fax_number": "860-355-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ISIDORI",
        "first_name": "DIANE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "029150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S. Creal, PH.D.
• Alyce Creiner
• Alfred Cretella, M.D.
• Crossroads Counseling Services
• Andrea H. Csizmadia, P.T.
• Danbury Hospital (Danbury Hospital DBA New Milford Hospital)
• Danbury Orthopedic Associates PC
• Samantha Dardis, LMT
• Peter Daubner, D.C.
• Veralyn Davee, M.A., CCC-A

• Pediatrics Physician in New Milford, CT
• Providers in New Milford, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.