Individual provider Active NPI

Diana Palanker, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1104385988
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
318060-01 Issued in NY
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

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLC 17 clinicians
Baker Health Medicine PLLC 7 clinicians

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

LicenseStateTypeSpecialty
318060-01NYMDFamily Medicine Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Baker Health Medicine PLLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Baker Pediatrics LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Iz Medical LLC Family Medicine PastSince May 31, 2020 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

  • FHIR API: https://api.platform.athenahealth.com/25246/brand/2/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.