Diane Ranieri, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002743 Issued in NY

Practice address

PC 815 Hallock Ave.
Suite a Kids First Pediatrics,
Port Jefferson Station, NY 11776-1244

Phone

(631) 331-7267

Fax

(631) 331-7579

NPI assigned

Dec 3, 2008

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1801031018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF PA EDUC SCHOOL OF HLTH TECH AND MGMT",
            "address_2": "HSC L2 RM 425 STONY BROOK UNIVERSITY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-6132",
            "fax_number": "631-444-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PC 815 HALLOCK AVE.",
            "address_2": "SUITE A KIDS FIRST PEDIATRICS,",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761244",
            "telephone_number": "631-331-7267",
            "fax_number": "631-331-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANIERI",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiological Imaging Solutions PLLC
• Rebecca Rainendez, LMHC
• Jacqueline Rambo, M.S.
• Marilyn Savitri Ramdeen, LPN
• Theodore John Randolph, D.P.M
• Julia Ranieri
• Paul David Ravener, D.C.
• Gerianne Mary Ray, M.A.
• Satabdi Ray
• Christina Elise Rea

• Physician Assistant in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.