NPIMap

Organization Active NPI

Diamond Medical Group, P.C.

  • Gastroenterology Physician
  • Wantagh, NY
National Provider Identifier
1760664395
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIAMOND MEDICAL GROUP, P.C.
Practice address
1488 Wantagh Ave
Wantagh, NY 11793-2204
Phone
(516) 785-6800
Fax
(516) 785-2121
NPI assigned
Dec 5, 2007
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Dr. Michael C Barth, M.D.NPI 1104807130
Title
Doctor
Phone
(516) 785-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1488 Wantagh Ave
Wantagh, NY 11793-2204

Mailing address

PO Box 57
Bellmore, NY 11710-0057
Phone (516) 785-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000947 NY Part B Supplier - Clinic/Group Practice 7214826916 Receives reassigned benefits from 11 practitioners
Practice locations: Wantagh, NY

National Provider Directory

National Provider Directory

Locations

29 Jericho Tpke
#A
Jericho, NY 11753
Phone (516) 785-6800

2155 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-1200

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1760664395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117100057",
            "telephone_number": "516-785-6800",
            "fax_number": "516-785-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932204",
            "telephone_number": "516-785-6800",
            "fax_number": "516-785-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "BARTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-785-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.