Individual provider Active NPI

Ismael Diaw

  • Certified Registered Nurse Anesthetist
  • Hallandale Beach, FL
National Provider Identifier
1003389974
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
514532 Issued in FL
Practice address
2350 S Park Rd Apt 206
Hallandale Beach, FL 33009-3022
Phone
(310) 800-5402
NPI assigned
Jan 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 514532 FL Primary

Addresses

Primary practice location

2350 S Park Rd Apt 206
Hallandale Beach, FL 33009-3022

Mailing address

2350 S Park Rd Apt 206
Hallandale Beach, FL 33009-3022
Phone (310) 800-5402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320002792 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082954425 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000

Hospital & facility affiliations

  • Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
514532FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Centurion Midtown Anesthesia PLLC CurrentSince Aug 30, 2024 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jul 13, 2024 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince May 11, 2019 Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1003389974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S PARK RD APT 206",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093022",
            "telephone_number": "310-800-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 S PARK RD APT 206",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093022",
            "telephone_number": "310-800-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAW",
        "first_name": "ISMAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "514532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.