Provider Demographics
NPI:1841282894
Name:DINIUS, JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:DINIUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1201 NOTT ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2589
Mailing Address - Country:US
Mailing Address - Phone:518-374-3123
Mailing Address - Fax:518-374-9711
Practice Address - Street 1:1201 NOTT ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308
Practice Address - Country:US
Practice Address - Phone:518-374-3123
Practice Address - Fax:518-374-9711
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY231538207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
10078774OtherCDPHP
CAN2315380WOtherNO FAULT
JD03658R20OtherEMPIRE BLUE CROSS
NY02533911Medicaid
110160500OtherUS DEPT OF LABOR
JD03658R10OtherEMPIRE BLUE CROSS
040610000056OtherFIDELIS
CAN2315380WOtherWORKERS COMP
000416892001OtherBLUE SHIELD NENY
714318OtherMVP
RA1165OtherFIDELIS MEDICARE
000416892002OtherBLUE SHIELD NENY
G64864OtherAMERICAN PROGRESSIVE TODA
5301141OtherGHI
000000083939OtherGHI HMO
231538OtherTRICARE NORTH REGION
JD03658R20OtherEMPIRE BLUE CROSS
040610000056OtherFIDELIS
CAN2315380WOtherNO FAULT