Active NPI
Diala A Jaber, M.D.
- Internal Medicine Physician
- Northport, NY
National Provider Identifier
1982749479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 196793
- Practice address
- 123 Eatons Neck Rd
Northport, NY 11768-1111 - Phone
- (631) 662-5466
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 196793 | NY | Primary |
Addresses
Primary practice location
123 Eatons Neck Rd
Northport, NY 11768-1111
Mailing address
123 Eatons Neck Rd
Northport, NY 11768-1111
Phone (631) 662-5466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196793 | Other | NY | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040218000663 | NY | Practitioner - Internal Medicine | 3870488844 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1010 Northern Blvd
Suite 328
Great Neck, NY 11021-5329
76 E Main St
Suite 2
Huntington, NY 11743-2837
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Partnercare Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Integrated Medical Professionals PLLC | Past | Accepting new patients |
Locations
1010 Northern Blvd
Ste 328
Great Neck, NY 11021
Phone (516) 354-7900
76 E Main St
Ste 2
Huntington, NY 11743
Phone (631) 528-8222
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://api.platform.athenahealth.com/24863/brand/1/csg/1/fhir/r4
- dialajaber@nslijmedgr.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1891318168
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1295534626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1982749479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 EATONS NECK RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681111",
"telephone_number": "631-662-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 EATONS NECK RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681111",
"telephone_number": "631-662-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABER",
"first_name": "DIALA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "196793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "196793",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.