Individual provider Active NPI

Aida Oumou Diouf, DO

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1417533019
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
331840 Issued in NY
Practice address
2401 White Plains Rd
Bronx, NY 10467-8108
Phone
(833) 252-2737
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 331840 NY Primary

Addresses

Primary practice location

2401 White Plains Rd
Bronx, NY 10467-8108

Mailing address

2401 White Plains Rd
Bronx, NY 10467-8108
Phone (833) 252-2737

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930002927 NY Practitioner - Family Practice 8820529993 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
331840NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerlight Healthcare, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Team Care Medical PLLC CurrentSince Aug 21, 2025 Accepting new patients
Centerlight Certified Home Health Agency Past Accepting new patients

Locations

1250 Waters Pl
Ste 602
Bronx, NY 10461
Phone (877) 226-8500

2401 White Plains Rd
Bronx, NY 10467
Phone (718) 515-8600

596 Prospect Pl
Brooklyn, NY 11238
Phone (718) 362-1450

13665 37th Ave
Flushing, NY 11354
Phone (718) 321-4200

Interoperability endpoints

  • Direct secure messaging: aida.diouf.1@32021.direct.athenahealth.com

Organizations & group practices 3

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1417533019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678108",
            "telephone_number": "833-252-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678108",
            "telephone_number": "833-252-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIOUF",
        "first_name": "AIDA",
        "middle_name": "OUMOU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "331840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.