Organization Active NPI

Neighborhood Diabetes Ny

  • Durable Medical Equipment & Medical Supplies
  • Great River, NY
National Provider Identifier
1992708283
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 30, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02380523MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.