Active NPI
Diana Krasnopolski, NP
- Adult Health Nurse Practitioner
- Bayside, NY
National Provider Identifier
1093918237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F303634
- Practice address
- 4223 Francis Lewis Blvd
Suite 105
Bayside, NY 11361-2580 - Phone
- (718) 225-5106
- Fax
- (718) 225-0816
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F303634 | NY | Primary |
Addresses
Primary practice location
4223 Francis Lewis Blvd
Suite 105
Bayside, NY 11361-2580
Mailing address
4223 Francis Lewis Blvd
Suite 105
Bayside, NY 11361-2580
Phone (718) 225-5106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F303634 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F303634 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1093918237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 FRANCIS LEWIS BLVD",
"address_2": "SUITE 105",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612580",
"telephone_number": "718-225-5106",
"fax_number": "718-225-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4223 FRANCIS LEWIS BLVD",
"address_2": "SUITE 105",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612580",
"telephone_number": "718-225-5106",
"fax_number": "718-225-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASNOPOLSKI",
"first_name": "DIANA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F303634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "F303634",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.