Active NPI
Neighborhood Diabetes Ny
- Durable Medical Equipment & Medical Supplies
- Great River, NY
National Provider Identifier
1992708283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NEIGHBORHOOD DIABETES NY
- Practice address
- 3500 Sunrise Highway
Suite D116
Great River, NY 11739-3500 - Phone
- (631) 961-9954
- Fax
- (631) 961-9899
- NPI assigned
- May 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathleen A Belmonte, MS, RN-CS
- Title
- Vice President, Clinical Services
- Phone
- (781) 246-9302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3500 Sunrise Highway
Suite D116
Great River, NY 11739-3500
Mailing address
3500 Sunrise Highway
Suite D116
Great River, NY 11739-3500
Phone (631) 961-9954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02380523 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
3500 Sunrise Hwy
Ste D116
Great River, NY 11739
Phone (631) 961-9954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222732800000",
"number": "1992708283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 SUNRISE HIGHWAY",
"address_2": "SUITE D116",
"city": "GREAT RIVER",
"state": "NY",
"postal_code": "117393500",
"telephone_number": "631-961-9954",
"fax_number": "631-961-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SUNRISE HIGHWAY",
"address_2": "SUITE D116",
"city": "GREAT RIVER",
"state": "NY",
"postal_code": "117393500",
"telephone_number": "631-961-9954",
"fax_number": "631-961-9899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORHOOD DIABETES NY",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2008-09-30",
"status": "A",
"authorized_official_last_name": "BELMONTE",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT, CLINICAL SERVICES",
"authorized_official_telephone_number": "781-246-9302",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, RN-CS"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02380523",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.