Diverse NP in Family Adult Health and Gerontology, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIVERSE NP IN FAMILY ADULT HEALTH AND GERONTOLOGY, PLLC

Practice address

2844 Ocean Pkwy Ste 6
Brooklyn, NY 11235-7900

Phone

(718) 629-8133

NPI assigned

Jan 30, 2018

Organization subpart

No

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

Authorized official

Name

Julia Livshits, FNP

Title

Owner

Phone

(718) 629-8133

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1194223677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 OCEAN PKWY STE 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 OCEAN PKWY STE 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357900",
            "telephone_number": "718-629-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE NP IN FAMILY ADULT HEALTH AND GERONTOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "LIVSHITS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-629-8133",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Marc Divack, M.D.
• Tina Marie Divello
• Marshall Andrew Diven, MD, MS
• Diverse Minds Corp
• Diverse Minds Corp
• Diversified Diagnostic Services Medical Care PC
• Diversity Care
• Laura Divetta, RPH
• Lolita Divilova
• Divine Home Care Agency

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.