Diane Indyk, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

140247 Issued in NY

Practice address

Jacobi Medical Center
1400 Pelham Parkway South
Bronx, NY 10461

Phone

(718) 918-4134

Fax

(718) 918-4176

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144397548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JACOBI MEDICAL CENTER",
            "address_2": "1400 PELHAM PARKWAY SOUTH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "203-353-1275",
            "fax_number": "718-918-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JACOBI MEDICAL CENTER",
            "address_2": "1400 PELHAM PARKWAY SOUTH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-918-4134",
            "fax_number": "718-918-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDYK",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "140247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independence Care System, Inc.
• Independent Bronx Consultation Center, Inc.
• Independent Formula Inc.
• Aaiesha Inderjit
• Indu Garg MD P.C.
• Adela Garces Inez, LCSW
• Mary Jane Infante, PT
• Vernice Infante
• Rachel Ingber, DC, LAC
• Amber Nicole Ingenita

• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.