Physician Compare National (NPI:1679666937)

HEALTHCARE PROVIDER: ROBERT MORRIS DIMICELI DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679666937
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810078664
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080117000465
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DIMICELI
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	666 10TH ST
	Group Practice or individual's line 1 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112154502
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7189657188
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y