Doctordiego Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

236424 Issued in NY

Legal business name

DOCTORDIEGO PHYSICIAN PC

Practice address

8801 Parsons Blvd
Jamaica, NY 11432-3841

Phone

(718) 526-3400

Fax

(718) 526-7438

NPI assigned

Apr 24, 2009

Organization subpart

No

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

Authorized official

Name

Diego A Ponieman, MDNPI 1164486353

Title

Director

Phone

(718) 526-3400

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBJECD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diego Andres Ponieman, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1164486353
  NPD (past) Authorized official

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1841434560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323841",
            "telephone_number": "718-526-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323841",
            "telephone_number": "718-526-3400",
            "fax_number": "718-526-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORDIEGO PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "PONIEMAN",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-526-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graciela Beatriz DO Santos, L.M.S.W.
• Lalmati Dobson
• Master Dobson
• Monique Renee Dobson
• Robert D Docena, PHYSICAL THERAPIST
• Carol Dodds-Liss, OTR
• Mimose Dolce
• Pietro Domenico Dolcimascolo, PHARM D.
• Suleyman Ender Dolen, MD
• Sonam Dolma, PHYSICIAN ASSISTANT

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.