DR. BEN R DIMICHINO (NPI# 1760593867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760593867 |
| Entity Type | Individual |
| Full Name | DR. BEN R DIMICHINO |
| Credential | DPM |
| Practice Address |
35 Shore Rd East Setauket NY 11733-3920 |
| Practice Telephone | 6316890202 |
| Practice Fax Number | 6316892686 |
| Mailing Telephone | 6316890202 |
| Mailing Fax Number | 6316892686 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N004656 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH NET | 1C1330 | 01 | |
| VYTRA | 114212 | 01 | |
| AETNA | 4450726 | 01 | |
| UNITED HEALTH CARE | 792279 | 01 | |
| OXFORD | P2545365 | 01 | |
| NY | 01590385 | 05 | |
| MDNY | AA47838 | 01 |
| Street Address |
35 SHORE RD |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922260207 | Gerard J Furst Dpm Pllc | Podiatrist | 4 Technology Dr, Suite 110, East Setauket, NY 11733-4047 | 2008-06-27 |
| 1275623456 | Gerard J Furst | Podiatrist | 4 Technology Dr, Suite 110, East Setauket, NY 11733-4047 | 2006-10-16 |
| 1174634281 | Comprehensive Podiatry Associates Dpm PC | Podiatrist | 46 Route 25a, Ste 6, East Setauket, NY 11733 | 2006-08-31 |
| 1831118330 | Valerie Brunetti | Podiatrist | 37 Research Way, East Setauket, NY 11733 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
Please comment or provide details below to improve the information on DR. BEN R DIMICHINO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.