Individual provider Active NPI

Diana Gagliano, DPM

  • Foot & Ankle Surgery Podiatrist
  • Great Neck, NY
National Provider Identifier
1194840496
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006211 Issued in NY
Practice address
7 Bond St
Great Neck, NY 11021-2433
Phone
(516) 482-5999
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006211 NY Primary

Addresses

Primary practice location

7 Bond St
Great Neck, NY 11021-2433

Mailing address

26 McDougal Dr
White Plains, NY 10603-2310
Phone (917) 386-8097

Other practice location 1

1111 Marcus Ave Ste M04
New Hyde Park, NY 11042-1034
Phone (516) 593-1380 ext. 232

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000501 NY Practitioner - Podiatry 2062512023 Reassigns benefits to 4 organizations
Practice locations: Bronx, NY; Mt Vernon, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue592
Removal or shaving of skin growth119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006211NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian/Queens CurrentSince Mar 15, 2009 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 4, 2023 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Mount Sinai School of Medicine of New York University CurrentSince Dec 1, 2017 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 4, 2023 Accepting new patients
Mount Sinai School of Medicine of New York University CurrentSince Dec 1, 2017 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Mar 15, 2009 Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

3207 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 224-2030

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

116 Fifth Ave
Pelham, NY 10803
Phone (914) 738-0005

2422 Central Park Ave
Yonkers, NY 10710
Phone (914) 779-2995

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

Networks

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

Interoperability endpoints

  • Direct secure messaging: dianagagliano@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: dgagliano@prine.curemd.direct-ci.com

Organizations & group practices 8

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1194840496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MCDOUGAL DR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032310",
            "telephone_number": "917-386-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BOND ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212433",
            "telephone_number": "516-482-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Marcus Ave Ste M04",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421034",
            "country_code": "US",
            "telephone_number": "516-593-1380 x232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGLIANO",
        "first_name": "DIANA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.