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JUSTINE ALYCIA DIBIASIO
NPI 1730975749
Student in an Organized Health Care Education/Training Program in Newton, MA

Active since April 16, 2025PECOS Enrolled
2014 WASHINGTON ST, NEWTON, MA 02462(617) 243-6000 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justine Alycia Dibiasio NPPES

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

JUSTINE ALYCIA DIBIASIO (NPI 1730975749) is an individual student in an organized health care education/training program in Newton, Massachusetts and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730975749
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJUSTINE ALYCIA DIBIASIO
Location Address2014 WASHINGTON STNewton, MA 02462-1607
Mailing Address2014 Washington StNewton, MA 02462-1607
Phone(617) 243-6000
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1730975749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2014 WASHINGTON ST, Newton, MA 02462
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justine Alycia Dibiasio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. ANDREA L RUSSO M.D.
Radiology (Radiation Oncology)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 219-1200
MAUREEN LAVELLE LICSW
Social Worker (Clinical)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 243-6664
SHALYNN DOHERTY
Physician Assistant
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 831-7100
MR. KEVIN YAN KOENDERS PA-C
Physician Assistant (Surgical)
2014 WASHINGTON ST, DEPARTMENT OF ORTHOPEDICS
NEWTON, MA 02462
Middlesex County (617) 219-1674
NATHAN DANIEL BUCKLEY PA-C
Physician Assistant (Surgical)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 243-6000
DR. RONALD KENNETH PYE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2014 WASHINGTON ST, SCN 6 NORTH
NEWTON, MA 02462
Middlesex County (617) 243-6296
DR. TODD EARL ABBOTT M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2014 WASHINGTON ST, NEWTON-WELLESLEY HOSPITAL
NEWTON, MA 02462
Middlesex County (434) 964-1637
DIANE MARIE POULIN RN,NP
Nurse Practitioner (Adult Health)
2014 WASHINGTON ST, NEWTON WELLESLEY HOSPITAL DEPT. OF ANESTHESIA
NEWTON, MA 02462
Middlesex County (617) 243-6298

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 Justine Dibiasio's NPI number?

The NPI number for Justine Dibiasio is 1730975749. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Justine Dibiasio located?

Justine Dibiasio practices at 2014 Washington St, Newton, MA 02462. The listed phone number is (617) 243-6000.

What is Justine Dibiasio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justine Dibiasio enrolled in Medicare?

Yes. Justine Dibiasio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justine Dibiasio was last updated on April 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.