Active NPI
Diamond Medical Group, P.C.
- Gastroenterology Physician
- Wantagh, NY
National Provider Identifier
1760664395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000947 | NY | Part B Supplier - Clinic/Group Practice | 7214826916 |
Receives reassigned benefits from 11 practitioners Practice locations: Wantagh, NY |
National Provider Directory
National Provider DirectoryLocations
29 Jericho Tpke
Ste A
Jericho, NY 11753
Phone (516) 280-9822
1488 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-1203
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1306822101
NY
-
- Anatomic Pathology & Clinical Pathology Physician
- Jericho, NY
- NPI 1104962372
NY
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.