DAVID J DIBENEDETTO (NPI# 1770599029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770599029 |
| Entity Type | Individual |
| Full Name | DAVID J DIBENEDETTO |
| Credential | M.D. |
| Practice Address |
85 1st Ave Waltham MA 02451-1105 |
| Practice Telephone | 7818945522 |
| Mailing Telephone | 7818945522 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 150895 | MA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
150895 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134265499 | David A Dibenedetto | Chiropractor | 2050 No Alma School Rd, Ste 13, Chandler, AZ 85224 | 2007-01-30 |
| 1134167323 | David Charles Dibenedetto | Dentist | 243 Church St, Pembroke, MA 02359-1962 | 2006-06-02 |
| Street Address |
85 1ST AVE |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962465070 | James Christopher O'brien | Internal Medicine | 85 1st Ave, Waltham, MA 02451-1105 | 2006-04-10 |
| 1598288987 | Hannah Potler | Registered Nurse | 85 1st Ave, Waltham, MA 02451-1105 | 2017-07-18 |
| 1255867487 | Boston Paincare Center | Clinical Medical Laboratory | 85 1st Ave, Waltham, MA 02451-1105 | 2017-05-09 |
| 1124552708 | Jordan Paul Backstrom | Psychologist | 85 1st Ave, Waltham, MA 02451-1105 | 2017-04-20 |
| 1255709556 | Valerie Florence Weed | Psychologist | 85 1st Ave, Waltham, MA 02451-1105 | 2015-09-03 |
| 1114338308 | Marina Treglia | Registered Nurse | 85 1st Ave, Waltham, MA 02451-1105 | 2014-05-11 |
| 1558791475 | Boston Paincare Center | Pain Medicine | 85 1st Ave, Waltham, MA 02451-1105 | 2013-11-13 |
| 1780020990 | Kelly Michelle Wawrzyniak | Psychologist | 85 1st Ave, Waltham, MA 02451-1105 | 2013-05-14 |
| 1578806170 | Nicholas Reese Barnes | Psychiatry & Neurology | 85 1st Ave, Waltham, MA 02451-1105 | 2013-04-02 |
| 1821341264 | Katherine Nycz | Registered Nurse | 85 1st Ave, Waltham, MA 02451-1105 | 2012-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922182419 | Boston Surgery Center, LLC | Pain Medicine | 85 1st Ave, Waltham, MA 02451-1105 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635606 | Orthopedic Medicine of Boston Pllc | Pain Medicine | 300 Congress St Ste 304, Quincy, MA 02169-0907 | 2018-07-10 |
| 1225335417 | Impar Corporation | Pain Medicine | 178 Westerly Rd, Plymouth, MA 02360-4535 | 2011-02-24 |
| 1609010008 | James R Gorman | Pain Medicine | 888 Worcester St Ste 95, Wellesley, MA 02482-3737 | 2009-04-29 |
| 1831189364 | Omar Hammam El Abd | Pain Medicine | 378 Washington St, Wellesley, MA 02481-6207 | 2005-10-26 |
| 1568972958 | North Shore Pain Center LLC | Pain Medicine | 900 Cummings Ctr Ste 221u, Beverly, MA 01915-6183 | 2017-10-11 |
| 1326574872 | North Shore Pain Treatment LLC | Pain Medicine | 900 Cummings Ctr, Suite 221u, Beverly, MA 01915-6198 | 2017-05-03 |
| 1942678560 | Orthopedics New England, Inc | Pain Medicine | 313 Speen St, Natick, MA 01760-1538 | 2015-09-14 |
| 1750779328 | Christopher James Britt | Pain Medicine | 203 Turnpike St, G1, North Andover, MA 01845-5042 | 2015-01-05 |
| 1174928543 | Seacoast Pain Center, LLC | Pain Medicine | 21 Highland Ave, Suite 16, Newburyport, MA 01950-3872 | 2014-10-28 |
| 1144643370 | North Shore Pain Care LLC | Pain Medicine | 800 W Cummings Park, Suite 1200, Woburn, MA 01801-6372 | 2014-01-23 |
| Find all providers with the same taxonomy | ||||
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| 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.