Joseph Tabernilla Dieron

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038543 Issued in NY

Practice address

3907 4TH Ave
Brooklyn, NY 11232-2901

Phone

(718) 435-9746

NPI assigned

Nov 19, 2019

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1982240503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9046 54TH AVE FL 3",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734546",
            "telephone_number": "831-402-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322901",
            "telephone_number": "718-435-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERON",
        "first_name": "JOSEPH",
        "middle_name": "TABERNILLA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalila Dieppa, LMHC
• Asher Dier
• Cheryl Dier, OTR/L
• Tarynn H Dier
• Michael Ryan Dieringer, MD, MSC
• Natalie Diers, MD
• Jessica Marie Diesing
• Shellene Dietrich, FNP
• Laurel Dietterle, LCSW
• Desiree Dietz, CRPA

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.