Active NPI
Diane Lynn Rosati, LMT
- Massage Therapist
- Smithtown, NY
National Provider Identifier
1720606114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 026464
- Practice address
- 100 Terry Rd
Smithtown, NY 11787-3811 - Phone
- (631) 979-7400
- NPI assigned
- Jul 11, 2020
- Last updated
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 026464 | NY | Primary |
Addresses
Primary practice location
100 Terry Rd
Smithtown, NY 11787-3811
Mailing address
44 Durhamoc LN
North Babylon, NY 11703-3008
Phone (631) 488-7812
Other names 1
- Ms. Diane Lynn Hein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026464 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.Lila Augoustiniatos, MD, PC | Current | Accepting new patients | |
| Long Island Integrative Functional Medicine, PC | Past | Accepting new patients |
Locations
100 Terry Rd
Smithtown, NY 11787
Phone (631) 979-7301
Organizations & group practices 2
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.
-
dba Evia Medical Center
- Internal Medicine Physician
- Smithtown, NY
- NPI 1922156132
-
- Primary Care Clinic/Center
- Smithtown, NY
- NPI 1295643138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1720606114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 DURHAMOC LN",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117033008",
"telephone_number": "631-488-7812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TERRY RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873811",
"telephone_number": "631-979-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSATI",
"first_name": "DIANE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "026464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "HEIN",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.