Scott Dibartolo, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

208156 Issued in NY

Practice address

426 W 45TH St Apt 5Fe
New York, NY 10036-9066

Phone

(347) 628-6440

NPI assigned

Jul 1, 2020

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• TMR Mental Health Care PC

  • Multi-Specialty Clinic/Center
  • Hackensack, NJ
  • NPI 1982238184

  NY, Psychiatry

  Medicare reassignment NPD
• TMR Mental Health Care PC

  • Clinical Social Worker
  • Hackensack, NJ
  • NPI 1659208643
  NPD

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1730706169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W 45TH ST APT 5FE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100369066",
            "telephone_number": "347-628-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W 45TH ST APT 5FE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100369066",
            "telephone_number": "347-628-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBARTOLO",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "208156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolima Diaz
• Paolo Dib, MD
• Arash Diba, LMSW
• Brittany Dibardino, D.O.
• Elizabeth Domenica Dibartolo, PA-C
• Alexander Dibartolomeo
• Pratima Dibba, M.D.
• Renee Dibbini
• Brent Austin Dibble, M.D./M.B.A.
• Qurratul-Ayn Dibble, P.A.

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.