Organization Active NPI

Diana Health Florida 1 LLC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1326717778
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DIANA HEALTH FLORIDA 1 LLC
Practice address
520 Broadway FL 4
New York, NY 10012-4436
Phone
(908) 268-8750
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Kate Condliffe
Title
Ceo
Phone
(917) 750-9533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

520 Broadway FL 4
New York, NY 10012-4436

Mailing address

520 Broadway FL 4
New York, NY 10012-4436
Phone (908) 268-8750

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1326717778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BROADWAY FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124436",
            "telephone_number": "908-268-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BROADWAY FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124436",
            "telephone_number": "908-268-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA HEALTH FLORIDA 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "CONDLIFFE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-750-9533"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.