Active NPI
Diana Palanker, MD
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 318060-01
- Practice address
- 70 West Brighton
Brooklyn, NY 11224 - Phone
- (347) 333-7008
- Fax
- (347) 333-7007
- NPI assigned
- Mar 19, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA11353400 | NJ | |
| Family Medicine Physician | 207Q00000X | 318060-01 | NY | Primary |
Addresses
Primary practice location
70 West Brighton
Brooklyn, NY 11224
Mailing address
70 West Brighton Avenue
Brooklyn, NY 11224
Phone (347) 333-7008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221111000012 | NJ | Practitioner - Family Practice | 0446627020 | Reassigns benefits to 1 organization |
| I20230629000393 | NY | Practitioner - Family Practice | 0446627020 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baker Pediatrics LLCBaker Health Medicine PLLC
Practice addresses (Care Compare)
34 The Promenade
Edgewater, NJ 07020-2127
Phone (551) 355-1200
76 W Brighton
Suite 105
Brooklyn, NY 11224
Phone (551) 355-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318060-01 | NY | MD | Family Medicine Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Health Medicine PLLC | Family Medicine | Current | Accepting new patients |
| Baker Pediatrics LLC | Family Medicine | Current | Accepting new patients |
| Iz Medical LLC | Family Medicine | Past | Accepting new patients |
Locations
855 Valley Rd
Ste 112
Clifton, NJ 07013
Phone (551) 355-1200
34 The Promenade
Edgewater, NJ 07020
Phone (551) 355-1200
250 Moonachie Rd
Moonachie, NJ 07074
Phone (201) 596-6262
76 W Brighton Ave
#C103
Brooklyn, NY 11224
Phone (551) 355-1200
510 Driggs Ave
Brooklyn, NY 11211
Phone (212) 315-8233
76 W Brighton Ave
#C10310
Brooklyn, NY 11224
Phone (551) 355-1200
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://api.platform.athenahealth.com/25246/brand/2/csg/1/fhir/r4
- diana.palanker.1@25246.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1770284648
Family Medicine, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1104385988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WEST BRIGHTON AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11224",
"telephone_number": "347-333-7008",
"fax_number": "347-333-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WEST BRIGHTON",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11224",
"telephone_number": "347-333-7008",
"fax_number": "347-333-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALANKER",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2023-09-12",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA11353400",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "318060-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.