Individual provider Active NPI

Diana Denisova

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1053710962
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306811 Issued in NY
Practice address
135 Sea Breeze Ave
Apt 205
Brooklyn, NY 11224-3700
Phone
(917) 848-3128
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306811 NY Primary
Gerontology Nurse Practitioner 363LG0600X F340939 NY

Addresses

Primary practice location

135 Sea Breeze Ave
Apt 205
Brooklyn, NY 11224-3700

Mailing address

135 Sea Breeze Ave
Apt 205
Brooklyn, NY 11224-3700
Phone (917) 848-3128

Other names 1

  • Diana Denisova Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170410001838 NY Practitioner - Nurse Practitioner 1052697844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

45 Reade PL
FL 2
Poughkeepsie, NY 12601-3947
Phone (845) 483-6001

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F306811NYMDAdult Health Nurse Practitioner
F340939NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Oncology Associates PLLC CurrentSince Feb 25, 2017 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Apr 12, 2021 Accepting new patients

Locations

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
#2
Poughkeepsie, NY 12601

19 Cooke St
Poughkeepsie, NY 12601
Phone (570) 451-3910

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

Organizations & group practices 2

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 4

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1053710962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SEA BREEZE AVE",
            "address_2": "APT 205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243700",
            "telephone_number": "917-848-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SEA BREEZE AVE",
            "address_2": "APT 205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243700",
            "telephone_number": "917-848-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISOVA",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306811",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "DENISOVA",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.