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DR. ALICE ANTONETTA DIBENEDETTO M.D.
NPI 1912959487
Psychiatry & Neurology - Psychiatry in Edison, NJ

Active since May 16, 2006Opted out of Medicare · through Oct 31, 2026
262 HANA RD, EDISON, NJ 08817(212) 561-0613(917) 970-8389 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2022, Apr 12, 2022 (2 updates tracked since 2022).

About Dr. Alice Antonetta Dibenedetto M.d. NPPES

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

DR. ALICE ANTONETTA DIBENEDETTO M.D. (NPI 1912959487) is an individual psychiatry provider in Edison, New Jersey, licensed in New York (218710) and active in the NPI registry since May 2006. She has opted out of Medicare through October 31, 2026 and remains eligible to order and refer and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1912959487
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ALICE ANTONETTA DIBENEDETTOCredential: M.D.
Location Address262 HANA RDEdison, NJ 08817-2054
Mailing Address262 Hana RdEdison, NJ 08817-2054 · (212) 561-0613 · Fax (917) 970-8389
Phone(212) 561-0613
Fax(917) 970-8389
Sole ProprietorYes
Enumeration DateMay 16, 2006
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1912959487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 218710
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
262 HANA RD, Edison, NJ 08817
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Secondary Practice Location 1

Location 1352 7th Ave Fl 12ANew York, NY 10001-5893 · Phone (212) 561-0613 · Fax (917) 970-8389

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Alice Antonetta Dibenedetto 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 October 31, 2018 through October 31, 2026.

Opt-Out Effective DateOctober 31, 2018
Opt-Out In Effect ThroughOctober 31, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alice Dibenedetto's NPI number?

The NPI number for Alice Dibenedetto is 1912959487. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Alice Dibenedetto located?

Alice Dibenedetto practices at 262 Hana Rd, Edison, NJ 08817. The listed phone number is (212) 561-0613.

What is Alice Dibenedetto's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Alice Dibenedetto enrolled in Medicare?

No. Alice Dibenedetto has opted out of Medicare through October 31, 2026. 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 Alice Dibenedetto was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.