George J Dirago (NPI# 1043287873, PAC ID# 5890703110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1043287873 |
| PAC ID by PECOS | 5890703110 |
| Professional Enrollment ID | I20070312000457 |
| Full Name | George J Dirago |
| Organization Legal Name | DIVINITY MEDICAL SERVICES PLLC |
| Address |
359 N Central Ave Hartsdale NY 10530-1811 |
| Phone Number | 9144482273 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193030245 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330304 | WHITE PLAINS HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 359 N Central Ave, Hartsdale, NY 10530-1811 | 9144482273 | DIVINITY MEDICAL SERVICES PLLC |
| 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 | 9149305550 | DIVINITY MEDICAL SERVICES PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | DIVINITY MEDICAL SERVICES PLLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry M Baquiran | General Practice | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Esther M Cohen | Physician Assistant | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Tecshana Nicola Blackwood | Physician Assistant | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Waqas Ali | Physician Assistant | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Anupam Singh Boparai | Family Medicine | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Andrew M Pietris | Physician Assistant | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Karen M Tam | Family Medicine | Divinity Medical Services Pllc | 359 N Central Ave, Hartsdale, NY 10530-1811 |
| Michael Medina | Physician Assistant | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Reginald D Hughes | Family Medicine | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Larry Moy | Family Medicine | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Street Address |
359 N CENTRAL AVE |
| City | HARTSDALE |
| State | NY |
| Zip | 10530-1811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Tam | Family Medicine | Divinity Medical Services Pllc | 359 N Central Ave, Hartsdale, NY 10530-1811 |
| Katarzyna E. Jankowska | Family Medicine | Divinity Medical Services Pllc | 359 N Central Ave, Hartsdale, NY 10530-1811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randi Borow-berdon | Clinical Social Worker | 111 N Central Park Ave, 200 B, Hartsdale, NY 10530 | |
| Rajasekhar Buddhavarapu | Internal Medicine | 10 Dunham Rd, Hartsdale, NY 10530-1213 | |
| Rebecca Abramson | Psychologist, Clinical | 111 N Central Park Ave, Suite 315, Hartsdale, NY 10530-1621 | |
| Robert Mencher | Psychiatry | 102 N Washington Ave, Hartsdale, NY 10530-1751 | |
| Itamar Salamon | Psychiatry | 102 N Washington Ave, Hartsdale, NY 10530-1751 | |
| Gary B Young | Chiropractic | 234 N Central Ave, Suite 204, Hartsdale, NY 10530-1807 | |
| Marie Jennifer Plawski | Chiropractic | 280 N Central Ave, Suite 211, Hartsdale, NY 10530-1832 | |
| Geraldine G White | Physical Therapy | 280 N Central Ave, Suite 211, Hartsdale, NY 10530-1832 | |
| Norman D Stein | Clinical Psychologist | 280 N Central Ave, Suite 45, Hartsdale, NY 10530-1835 | |
| Marian A Gruber | Clinical Social Worker | 280 N Central Ave, Suite 40, Hartsdale, NY 10530-1836 | |
| Find all physicians in zip 10530 | |||
| City | HARTSDALE |
| Zip Code | 10530 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | HARTSDALE + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.