DR. MARY JO DIMILIA M.D.
NPI 1871788273
Internal Medicine - Adolescent Medicine in New York, NY
About Dr. Mary Jo Dimilia M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY JO DIMILIA M.D. (NPI 1871788273) is an individual adolescent medicine provider in New York, New York, licensed in New York (197284-1) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mary Jo Dimilia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10128
NEW YORK, NY 10128
NEW YORK, NY 10128
NEW YORK, NY 10128
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 Mary Jo Dimilia's NPI number?
The NPI number for Mary Jo Dimilia is 1871788273. It was assigned to this individual provider in the NPPES registry on September 9, 2007.
Where is Mary Jo Dimilia located?
Mary Jo Dimilia practices at 1150 Park Ave, New York, NY 10128. The listed phone number is (347) 746-2144.
What is Mary Jo Dimilia's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.
Is Mary Jo Dimilia enrolled in Medicare?
Yes. Mary Jo Dimilia is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Jo Dimilia was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Mary Jo Dimilia, M.D. · NPI 1871788273
Adolescent Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 9, 2007.
## Identity
- **NPI:** 1871788273 (Entity type: Individual)
- **Enumerated:** September 9, 2007
- **Primary specialty:** Internal Medicine - Adolescent Medicine · taxonomy 207RA0000X
- **State license:** 197284-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1150 PARK AVE, New York, NY 10128-1244
- **Phone:** (347) 746-2144
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 7, 2014
- **Other identifiers:** Medicare PIN F49064 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1871788273) · Data from the CMS NPPES public registry.