Individual provider Active NPI

Diana M Lwanga, CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1386204063
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00989700 Issued in NJ
Practice address
506 Lenox Ave
New York, NY 10037-1889
Phone
(212) 939-3856
NPI assigned
Jun 16, 2019
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NJ00989700 NJ Primary

Addresses

Primary practice location

506 Lenox Ave
New York, NY 10037-1889

Mailing address

276 Grand Concourse Apt 1217
Bronx, NY 10451-5854

Other practice location 1

1 Gustave L Levy Pl Fl 12
New York, NY 10029-6574
Phone (917) 715-8771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200120001150 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577998608 Reassigns benefits to 4 organizations
I20231102000254 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577998608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians
University HospitalGroup PAC ID 5294636874, 77 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 235-7887

150 Bergen St
245 Dept of Anesthesiology
Newark, NJ 07101-2496
Phone (973) 972-7867

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00989700NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Nov 17, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Nov 17, 2021 Accepting new patients
University Hospital CurrentSince Dec 12, 2023 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Sep 9, 2023 Accepting new patients
University Hospital Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2023 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Jun 26, 2025 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Jun 26, 2025 Accepting new patients

Locations

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

150 Bergen St
#E245
Newark, NJ 07103
Phone (973) 972-7867

111 E 210th St
Bronx, NY 10467

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1386204063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 GRAND CONCOURSE APT 1217",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371889",
            "telephone_number": "212-939-3856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl Fl 12",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296574",
            "country_code": "US",
            "telephone_number": "917-715-8771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LWANGA",
        "first_name": "DIANA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00989700",
            "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 Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.