Diana Serviss, L.M.T

Primary specialty

ContractorTaxonomy code 171W00000X

License

024717 Issued in NY

Practice address

61 Route 111
Smithtown, NY 11787-3712

Phone

(631) 360-7733

NPI assigned

Jul 18, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Robert D. Berney

  • Chiropractor
  • Smithtown, NY
  • NPI 1639367576
  NPD (past)

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1760770283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117330385",
            "telephone_number": "609-972-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873712",
            "telephone_number": "631-360-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVISS",
        "first_name": "DIANA",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "024717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "024717",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold Sequeira, LCSW-R
• Deborah Serani, PSY.D.
• Hope Sergi
• Jennifer Serrentino, MD
• Donna April Serure, D.O.
• Deborah A Sexton, LCSW
• Kristen Seybold
• Seymour Alter MD
• Aliea Shaffie
• Gabriela R. Shafy, R.N.

• Contractor in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.