Active NPI
Ferdinand C. Diblasio, M.D.
- Urology Physician
- Huntington, NY
National Provider Identifier
1982614350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 102982-1
- Practice address
- 21 Southdown Rd
Huntington, NY 11743-2538 - Phone
- (631) 351-3763
- Fax
- (631) 385-8210
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 102982-1 | NY | Primary |
Addresses
Primary practice location
21 Southdown Rd
Huntington, NY 11743-2538
Mailing address
21 Southdown Rd
Huntington, NY 11743-2538
Phone (631) 351-3763
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000505 | Other | NY | GHI |
| 00627023 | Medicaid | NY | |
| 694521 | Other | NY | BLUE CROSS/ BLUE SHIELD |
| CS113 | Other | NY | OXFORD |
| 2C4876 | Other | NY | HEALTHNET |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102982-1 | NY | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1982614350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SOUTHDOWN RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432538",
"telephone_number": "631-351-3763",
"fax_number": "631-385-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SOUTHDOWN RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432538",
"telephone_number": "631-351-3763",
"fax_number": "631-385-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBLASIO",
"first_name": "FERDINAND",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "102982-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1000505",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00627023",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "694521",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "CS113",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C4876",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.