JOHN J DILALLO M.D.
NPI 1720013808
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY
About John J Dilallo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN J DILALLO M.D. (NPI 1720013808) is an individual child & adolescent psychiatry provider in New York, New York, licensed in Massachusetts (155596) and active in the NPI registry since July 2006. He has opted out of Medicare through April 7, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
John J Dilallo 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 April 7, 2026 through April 7, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10025
NEW YORK, NY 10025
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 John Dilallo's NPI number?
The NPI number for John Dilallo is 1720013808. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is John Dilallo located?
John Dilallo practices at 411 W 114th St 2nd Floor, New York, NY 10025. The listed phone number is (212) 523-6635.
What is John Dilallo's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is John Dilallo enrolled in Medicare?
No. John Dilallo has opted out of Medicare through April 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for John Dilallo 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.
# John J Dilallo, M.D. · NPI 1720013808
Child & Adolescent Psychiatry physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 11, 2006.
## Identity
- **NPI:** 1720013808 (Entity type: Individual)
- **Enumerated:** July 11, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 155596 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 411 W 114TH ST, 2ND FLOOR, New York, NY 10025-1710
- **Phone:** (212) 523-6635
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 7, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1720013808) · Data from the CMS NPPES public registry.