Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760770283 Individual Practitioner Female Practitioner

Diana Serviss , LMT

Contractor • Smithtown, NY

Professional Overview & Biography Verified Profile Summary

Diana Serviss, LMT is a registered healthcare professional specializing in Contractor in Smithtown, NY. Practice services are available at 61 ROUTE 111 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

61 Route 111

Smithtown, NY 117873712

Telephone 6313607733
Associated Practice Facility / Clinic
🏢 Robert D. Berney Facility NPI 1639367576

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Smithtown, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Smithtown, NY (642 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License NY 024717

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Massage License
024717 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1154397594

Doctor of Podiatric Medicine

NPI 1902907017

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2011

Registered at 61 ROUTE 111, SMITHTOWN, NY 117873712 (Tel: 6313607733)

📍
Updated Business Mailing Address July 18, 2011

Registered at PO BOX 385, EAST SETAUKET, NY 117330385 (Tel: 6099724324)

👤
Provider Name / Credentials Updated July 18, 2011

Recorded as DIANA SERVISS, L.M.T

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2011

Contractor (License #024717 in NY)

🟢
Initial NPI Registration & Enumeration July 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760770283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2011
Last Update: July 18, 2011
Sole Proprietor: Yes

Mailing Address

Po Box 385

East Setauket, NY 117330385

Phone: 6099724324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.