Active NPI
Diana V Marin, M.D.
- Pediatric Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 286807
- Practice address
- 622 W 168TH St
New York, NY 10032-3720 - Phone
- (973) 972-5188
- Fax
- (973) 972-2307
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | ME94558 | FL | |
| Pediatric Radiology Physician | 2085P0229X | 25MA10311000 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 286807 | NY | |
| Pediatric Radiology Physician | 2085P0229X | 286807 | NY | Primary |
Addresses
Primary practice location
622 W 168TH St
New York, NY 10032-3720
Mailing address
30 Bergen Street
Building 12 Room 1205
Newark, NJ 07107-3000
Phone (972) 972-0037
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0062685 | Medicaid | NJ | |
| 274212800 | Medicaid | FL | |
| 286807 | Other | NY | NYS MEDICAL LICENSE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | tmi9003@direct.nyp.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429
Hospital & facility affiliations
- Johns Hopkins All Children'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286807 | NY | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center - MMC Radiology FPP | Diagnostic Radiology | Current | Accepting new patients |
| Columbia/Newyork-Presbyterian Advanced Imaging Inc. | Current | Accepting new patients | |
| Pediatric Physician Services, Inc. | Current | Accepting new patients | |
| Lawrence Medical Associates, PC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Columbiadoctors/Newyork-Presbyterianimaging | Current | Accepting new patients | |
| Lawrence Medical Associates, PC | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Radiology Imaging Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Radiology Associates of Children'S Hospital, Inc | Pediatric Radiology | Past | Accepting new patients |
| Radiology Associates of Hollywood, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
577 N Williamson Blvd
Daytona Beach, FL 32114
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700
501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100
685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100
1329 Boston Post Rd
Ste 1
Larchmont, NY 10538
1329 Boston Post Rd
Larchmont, NY 10538
Phone (914) 833-9121
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
722 W 168th St
New York, NY 10032
Phone (212) 305-6754
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- dmarin1245712@direct.hopkinsmedicine.org
- tmi9003@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 17
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.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
- Diagnostic Radiology Physician
- Daytona Beach, FL
- NPI 1063400729
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Diagnostic Radiology Physician
- Valrico, FL
- NPI 1417423377
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1558342998
-
- Specialist
- New York, NY
- NPI 1356171797
-
- Specialist
- New York, NY
- NPI 1902345986
-
- Internal Medicine Physician
- Yorktown Heights, NY
- NPI 1023257441
-
- Multi-Specialty Clinic/Center
- Yorktown Heights, NY
- NPI 1184115479
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1811948284
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Diagnostic Radiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- St Petersburg, FL
- NPI 1427114099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1093701161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BERGEN STREET",
"address_2": "BUILDING 12 ROOM 1205",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073000",
"telephone_number": "972-972-0037",
"fax_number": "973-972-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "973-972-5188",
"fax_number": "973-972-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN",
"first_name": "DIANA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "FL",
"license": "ME94558",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NJ",
"license": "25MA10311000",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "286807",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NY",
"license": "286807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0062685",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274212800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS MEDICAL LICENSE",
"identifier": "286807",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "1329 Boston Post Rd Ste 1",
"city": "Larchmont",
"state": "NY",
"country_code": "US",
"postal_code": "105383902",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "1329 Boston Post Rd Ste 1",
"city": "Larchmont",
"state": "NY",
"country_code": "US",
"postal_code": "105383902",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmi9003@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "1329 Boston Post Rd Ste 1",
"city": "Larchmont",
"state": "NY",
"country_code": "US",
"postal_code": "105383902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.