Active NPI
Mary Fac Dimaio, MD
- Pediatric Pulmonology Physician
- New York, NY
National Provider Identifier
1962547612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 150399
- Practice address
- 1440 York Avenue
Suite P5
New York, NY 10021 - Phone
- (212) 988-5008
- Fax
- (212) 988-5017
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | 150399 | NY | |
| Pediatric Pulmonology Physician | 2080P0214X | 150399 | NY | Primary |
Addresses
Primary practice location
1440 York Avenue
Suite P5
New York, NY 10021
Mailing address
333 East 68TH Street
Apt 15a
New York, NY 10021
Phone (212) 535-6402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150399 | NY | MD | Pediatric Pulmonology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1962547612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EAST 68TH STREET",
"address_2": "APT 15A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-535-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 YORK AVENUE",
"address_2": "SUITE P5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-988-5008",
"fax_number": "212-988-5017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMAIO",
"first_name": "MARY",
"middle_name": "FAC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "NY",
"license": "150399",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NY",
"license": "150399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.