MRS. DIANE D'AMICO P.A.
NPI 1710016795
Physician Assistant - Medical in Staten Island, NY

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
1408 RICHMOND RD, STATEN ISLAND, NY 10304(718) 226-2642(718) 226-2652 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Diane D'amico P.a. NPPES

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

MRS. DIANE D'AMICO P.A. (NPI 1710016795) is an individual medical provider in Staten Island, New York, licensed in New York (002341) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1710016795
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. DIANE D'AMICOCredential: P.A.
Location Address1408 RICHMOND RDStaten Island, NY 10304-2312
Mailing Address236 King StStaten Island, NY 10312-6206 · (718) 948-3487 · Fax (718) 226-2652
Fax(718) 226-2652
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1710016795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 002341
1408 RICHMOND RD, Staten Island, NY 10304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Diane D'amico P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628369154
PECOS Enrollment IDI20201113002804
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Infectious Disease)
1408 RICHMOND RD
STATEN ISLAND, NY 10304
Internal Medicine (Infectious Disease)
1408 RICHMOND RD
STATEN ISLAND, NY 10304
Internal Medicine (Infectious Disease)
1408 RICHMOND RD
STATEN ISLAND, NY 10304

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 Diane D'amico's NPI number?

The NPI number for Diane D'amico is 1710016795. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Diane D'amico located?

Diane D'amico practices at 1408 Richmond Rd, Staten Island, NY 10304. The listed phone number is (718) 226-2642.

What is Diane D'amico's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Diane D'amico enrolled in Medicare?

Yes. Diane D'amico is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Diane D'amico affiliated with any hospitals?

According to CMS data, Diane D'amico is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Diane D'amico was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.