Individual provider Active NPI

Eric Allen Diamond, M.D.

  • Urology Physician
  • Plainview, NY
National Provider Identifier
1831118389
Registry record updated Oct 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
141261 Issued in NY
Practice address
1171 Old Country Rd
Suite # 5
Plainview, NY 11803-5022
Phone
(516) 933-3323
Fax
(516) 938-7718
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 141261 NY Primary

Addresses

Primary practice location

1171 Old Country Rd
Suite # 5
Plainview, NY 11803-5022

Mailing address

1171 Old Country Rd
Suite # 5
Plainview, NY 11803-5022
Phone (516) 933-3323

Other identifiers 1

IdentifierTypeStateIssuer
00797360MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419000958 NY Practitioner - Urology 4587659586 Reassigns benefits to 1 organization
Practice locations: Plainview, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Babylon Medical Practice, P.C. CurrentSince Dec 15, 2011 Accepting new patients

Locations

350 W Main St
Babylon, NY 11702
Phone (631) 661-2277

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288483200000",
    "number": "1831118389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 OLD COUNTRY RD",
            "address_2": "SUITE # 5",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035022",
            "telephone_number": "516-933-3323",
            "fax_number": "516-938-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 OLD COUNTRY RD",
            "address_2": "SUITE # 5",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035022",
            "telephone_number": "516-933-3323",
            "fax_number": "516-938-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "ERIC",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "141261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00797360",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.