Alice Antonetta Dibenedetto, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

218710 Issued in NY

Practice address

262 Hana Rd
Edison, NJ 08817-2054

Phone

(212) 561-0613

Fax

(917) 970-8389

NPI assigned

May 16, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 31, 2018 through Oct 31, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1912959487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 HANA RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172054",
            "telephone_number": "212-561-0613",
            "fax_number": "917-970-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 HANA RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172054",
            "telephone_number": "212-561-0613",
            "fax_number": "917-970-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "352 7th Ave Fl 12A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015893",
            "country_code": "US",
            "telephone_number": "212-561-0613",
            "fax_number": "917-970-8389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBENEDETTO",
        "first_name": "ALICE",
        "middle_name": "ANTONETTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Diamantis, PSY.D.
• Diamond Braces Edison
• Diamond Rehab Center LLC
• Daniel Diamond, OD
• Diane N Dias, PA
• McKenna Mary Dick, OTR/L
• Scott Dickerson
• Adrian Alberto Diez, MD
• Yifeng Ding, MD
• Carol Anna Dinnocenzio, DNP, APN

• Psychiatry Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.