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DR. MARY JO DIMILIA M.D.
NPI 1871788273
Internal Medicine - Adolescent Medicine in New York, NY

Active since September 09, 2007PECOS Enrolled
1150 PARK AVE, NEW YORK, NY 10128(347) 746-2144 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1871788273
Entity TypeIndividualFemale
Primary Taxonomy207RA0000X
Provider Legal NameDR. MARY JO DIMILIACredential: M.D.
Location Address1150 PARK AVENew York, NY 10128-1244
Mailing Address1150 Park AveNew York, NY 10128-1244 · (212) 348-1454
Phone(347) 746-2144
Sole ProprietorYes
Enumeration DateSeptember 9, 2007
Last NPPES UpdateMarch 7, 2014
✔ NPI 1871788273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in NY · 197284-1
Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License 197284 (NY)
1150 PARK AVE, New York, NY 10128
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Other Identifiers 1

Medicare PINF49064NY

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).

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 11

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

LLOYD B GAYLE MD PC
Surgery (Plastic and Reconstructive Surgery)
1150 PARK AVE, SUITE 1F
NEW YORK, NY 10128
New York County (212) 452-5121
LATRENTA OFFICE BASED SURGERY PC
Clinic/Center (Ambulatory Surgical)
1150 PARK AVE, SUITE 1A
NEW YORK, NY 10128
New York County (212) 369-5300
ELLIOT JAMES RAYFIELD M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1150 PARK AVE
NEW YORK, NY 10128
New York County (212) 427-9191
DR. STEVEN M FRUCHTMAN M.D.
Specialist
1150 PARK AVE, SUITE 1 FW
NEW YORK, NY 10128
New York County (212) 427-7700
ANTOINE C HAROVAS MD PC
Internal Medicine (Cardiovascular Disease)
1150 PARK AVE
NEW YORK, NY 10128
New York County (212) 860-3737
SHWETA BAJARIA (PT, DPT)
Physical Therapist
1150 PARK AVE
NEW YORK, NY 10128
New York County (951) 427-0764
JOHN ALEX BENDO MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1150 PARK AVE
NEW YORK, NY 10128
New York County (212) 427-5553
MANHATTAN MEDICAL PHYSICIAN PLLC
Internal Medicine
1150 PARK AVE
NEW YORK, NY 10128
New York County (212) 427-1642

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 with the weekly NPPES data releases published by CMS.