Individual provider Active NPI

Diane M. Sirakovsky

  • Psychiatric/Mental Health Nurse Practitioner
  • Orangeburg, NY
National Provider Identifier
1174214845
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
485399 Issued in NY
Practice address
32 Dutchess Dr
Orangeburg, NY 10962-2702
Phone
(845) 521-8833
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 485399 NY Primary

Addresses

Primary practice location

32 Dutchess Dr
Orangeburg, NY 10962-2702

Mailing address

32 Dutchess Dr
Orangeburg, NY 10962-2702
Phone (845) 521-8833

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403002701 NY Practitioner - Nurse Practitioner 1254855992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balveen Singh DO PCGroup PAC ID 5496054298, 5 clinicians

Practice addresses (Care Compare)

216 Congers Rd
BLDG 3
New City, NY 10956-6261
Phone (845) 821-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
485399NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balveen Singh DO PC CurrentSince Jan 30, 2025 Accepting new patients

Locations

60 Prospect Ave
Fl 3
Middletown, NY 10940
Phone (845) 480-6678

216 Congers Rd
Bldg 3
New City, NY 10956
Phone (845) 480-6678

Organizations & group practices 1

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1174214845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 DUTCHESS DR",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622702",
            "telephone_number": "845-521-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 DUTCHESS DR",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622702",
            "telephone_number": "845-521-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAKOVSKY",
        "first_name": "DIANE",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "485399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.