Diane Kathleen Pastor, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F305997-1 Issued in NY

Practice address

4 Lord Joes LNDG
Northport, NY 11768-1570

Phone

(631) 754-6819

NPI assigned

May 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1093073710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LORD JOES LNDG",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681570",
            "telephone_number": "631-754-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LORD JOES LNDG",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681570",
            "telephone_number": "631-754-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTOR",
        "first_name": "DIANE",
        "middle_name": "KATHLEEN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305997-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Panichella, D.D.S.,M.S.
• Kristina Victoria Papillo, LCSW
• Kalpana A. Parghi
• Rushang Mitesh Parikh, M.D.
• Joseph Parisi, RRT
• Enrique Pastoriza-Munoz, MD
• Katie Patel, M.D.
• Tejas Bharat Patel, DDS
• Shawn Paul, PHARMD
• Susan Claire Perillo, R.D.

• Adult Health Nurse Practitioner in Northport, NY
• Providers in Northport, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.