Organization Active NPI

James J. Di Maio, MD, PC

  • Internal Medicine Physician
  • Carle Place, NY
National Provider Identifier
1861670119
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203338 Issued in NY
Legal business name
JAMES J. DI MAIO, MD, PC
Practice address
175 Westbury Ave
Carle Place, NY 11514-1223
Phone
(516) 876-9121
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. James J. Di Maio, M.D.NPI 1457379570
Title
Physician
Phone
(516) 876-9121

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 203338 NY Primary

Addresses

Primary practice location

175 Westbury Ave
Carle Place, NY 11514-1223

Mailing address

175 Westbury Ave
Carle Place, NY 11514-1223
Phone (516) 876-9121

Other identifiers 1

IdentifierTypeStateIssuer
01731828MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000335 NY Part B Supplier - Clinic/Group Practice 4981787785 Receives reassigned benefits from 1 practitioner
Practice locations: Carle Place, NY

National Provider Directory

National Provider Directory

Locations

175 Westbury Ave
Carle Place, NY 11514
Phone (516) 876-9121

530 Old Country Rd
Westbury, NY 11590
Phone (516) 333-9033

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1861670119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141223",
            "telephone_number": "516-876-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141223",
            "telephone_number": "516-876-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J. DI MAIO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "DI MAIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-876-9121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01731828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.

Verify at the official NPI Registry.