Diana Badalova, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

310298 Issued in NY

Practice address

6635 Saunders St
Rego Park, NY 11374-4635

Phone

(917) 502-7875

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Forest Hills Dermatology Group PLLC

  • Dermatology Physician
  • Kew Gardens, NY
  • NPI 1225309586
  Medicare reassignment
• Dial Doc Now Medical Group PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1386245702
  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1194491779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 SAUNDERS ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744635",
            "telephone_number": "917-502-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 SAUNDERS ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744635",
            "telephone_number": "917-502-7875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6538 Booth St Apt 2J",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113744117",
            "country_code": "US",
            "telephone_number": "917-502-7875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADALOVA",
        "first_name": "DIANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Babekov, NURSE PRACIONER
• George Babitsky, MD
• Mikhail Bachayev
• Daniel Badalov, RPH
• Marina Badalov, RN
• Paul Bruce Bader, MD
• Anthony Manuel Baez
• Daysi Baez, MD
• Simona Bagdasarian, RPH
• Denise Baird

• Adult Health Nurse Practitioner in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.