Antonino Tano Dimarco, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

134503-01 Issued in NY

Practice address

7901 Rome Westernville Rd
Rome, NY 13440-2203

Phone

(315) 624-9000

Fax

(315) 624-9003

NPI assigned

Jun 13, 2005

Reactivated

Mar 24, 2006

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: antoninodimarcomd@mvmp.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennifer B Lavesa-Cesana, MD

  • Family Medicine Physician
  • Rome, NY
  • NPI 1770886889
  Medicare reassignment
• Ridge Mills Physician Services, PLLC

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1902837321
  Authorized official Same address or phone
• Jennifer Lavesa-Cesana MD

  • Family Medicine Physician
  • Rome, NY
  • NPI 1740920651
  NPD
• Sleep Disorders Lab of Central New York, LLC

  • Sleep Specialist (PhD)
  • Utica, NY
  • NPI 1336570589
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1922002393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 ROME WESTERNVILLE RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402202",
            "telephone_number": "315-337-2500",
            "fax_number": "855-667-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 ROME WESTERNVILLE RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402203",
            "telephone_number": "315-624-9000",
            "fax_number": "315-624-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7845 Rome Westernville Rd",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134402202",
            "country_code": "US",
            "telephone_number": "315-337-2500",
            "fax_number": "855-667-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMARCO",
        "first_name": "ANTONINO",
        "middle_name": "TANO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "134503-01",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "134503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00534905",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Destito
• John A Destito, D.D.S.
• Nicholas Destito, D.C.
• Danielle Marie Diliberto, PHARMD
• Bettina Sabia Dimaggio, MSPT
• Kimberly R Dobransky, RN
• Dominick Nuccio
• Tracey Lynn Downs, FNP-C
• Ayanda Dube, DPM, MHA
• Joseph C Duda, LMT

• Internal Medicine Physician in Rome, NY
• Providers in Rome, 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 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.