Individual provider Active NPI

Diana M Moncayo

  • Case Manager/Care Coordinator
  • Staten Island, NY
National Provider Identifier
1376898692
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
27 Simmons LN
Staten Island, NY 10314-4721
Phone
(917) 200-5985
Fax
(718) 816-3488
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

27 Simmons LN
Staten Island, NY 10314-4721

Mailing address

27 Simmons LN
Staten Island, NY 10314-4721
Phone (917) 200-5985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1376898692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SIMMONS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144721",
            "telephone_number": "917-200-5985",
            "fax_number": "718-816-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIMMONS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144721",
            "telephone_number": "917-200-5985",
            "fax_number": "718-816-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCAYO",
        "first_name": "DIANA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.