PATTY MORELL DIBLASIO M.D.
NPI 1295979144
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Brooklyn, NY

Active since April 22, 2009Opted out of Medicare · through Mar 16, 2028
409 FULTON ST, FL 2, BROOKLYN, NY 11201(718) 260-1000(718) 260-0072 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2021, Mar 6, 2020 (2 updates tracked since 2020).

About Patty Morell Diblasio M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATTY MORELL DIBLASIO M.D. (NPI 1295979144) is an individual preventive medicine/occupational environmental medicine provider in Brooklyn, New York, licensed in California (A123970) and active in the NPI registry since April 2009. She has opted out of Medicare through March 16, 2028 and maintains a secondary practice location in Saratoga.

NPPES Registry Identity

NPI1295979144
Entity TypeIndividualFemale
Primary Taxonomy2083P0500X
Provider Legal NamePATTY MORELL DIBLASIOCredential: M.D.
Location Address409 FULTON ST, FL 2Brooklyn, NY 11201-5103
Mailing Address409 Fulton St, Fl 2Brooklyn, NY 11201-5103 · (718) 260-1000 · Fax (718) 260-0072
Fax(718) 260-0072
Sole ProprietorYes
Enumeration DateApril 22, 2009
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
NPI 1295979144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License Licensed in CA · A123970
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
409 FULTON ST, Brooklyn, NY 11201

Secondary Practice Location 1

Location 120398 Blauer DrSaratoga, CA 95070-4307 · Phone (408) 733-0400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Patty Morell Diblasio M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2020 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2020
Opt-Out In Effect ThroughMarch 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
409 FULTON ST
BROOKLYN, NY 11201
Chiropractor
409 FULTON ST, 2ND FLOOR
BROOKLYN, NY 11201
Physical Medicine & Rehabilitation
409 FULTON ST, 2ND FLOOR
BROOKLYN, NY 11201
Dentist (General Practice)
409 FULTON ST
BROOKLYN, NY 11201
Dietitian, Registered
409 FULTON ST
BROOKLYN, NY 11201
Physical Therapist
409 FULTON ST
BROOKLYN, NY 11201
Physical Therapist
409 FULTON ST, 2ND FLOOR
BROOKLYN, NY 11201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patty Diblasio's NPI number?

The NPI number for Patty Diblasio is 1295979144. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Patty Diblasio located?

Patty Diblasio practices at 409 Fulton St Fl 2, Brooklyn, NY 11201. The listed phone number is (718) 260-1000.

What is Patty Diblasio's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Patty Diblasio enrolled in Medicare?

No. Patty Diblasio has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Patty Diblasio was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.