Diana Burgrave, LCSW R

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R0255591 Issued in NY

Practice address

316 Beach 65TH St
Daytop Village Inc
Far Rockaway, NY 11692

Phone

(718) 474-3800

Fax

(718) 318-6372

NPI assigned

Aug 2, 2006

Last updated

Dec 4, 2019By the provider in NPPES

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Care Psychology of Ny PCGroup PAC ID 0749536852, 49 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.85 of 100Reported as group

Quality

80.43

Improvement activities

40

Cost

82.04

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supportive Care Psychology of Ny PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1104315068

  NY

  Medicare reassignment Care Compare group NPD
• Daytop Village, Inc

  • Substance Abuse Rehabilitation Facility
  • Far Rockaway, NY
  • NPI 1154442879
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1265449912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BEACH 117TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-634-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BEACH 65TH ST",
            "address_2": "DAYTOP VILLAGE INC",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11692",
            "telephone_number": "718-474-3800",
            "fax_number": "718-318-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGRAVE",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "LCSW R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0255591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Buchsbayew, LCSW
• Sherryll Rose Marie Bucknol, LPN
• Daniel Buff, MD
• Bumble & Tumble Occupational Therapy P.C.
• Gabriela Buniowska, DO
• Christine B Burgwin
• Deron James-Suubi Burkhead, LMT
• Cymara H. Burns, R.N.
• Adena Burnstein, M.D.
• Perel Ethel Bursky-Tammam, MD

• Social Worker in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.