Diana Marie Nilsen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1836651 Issued in NY

Practice address

295 Flatbush Avenue Ext FL 4
Brooklyn, NY 11201-3001

Phone

(718) 249-1468

NPI assigned

Jun 20, 2006

Last updated

Mar 11, 2024By 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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dnilsen680141@nychhc.direct-ci.com

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.

• City of New York Office of Payroll Administration

  • State or Local Public Health Clinic/Center
  • Jackson Heights, NY
  • NPI 1942257035
  Medicare reassignment NPD
• City of New York Office of Payroll Administration

  dba NYC DOHMH Crown Heights HC

  • State or Local Public Health Clinic/Center
  • Brooklyn, NY
  • NPI 1679501647
  NPD
• City of New York Office of Payroll Administration

  dba New York City Dept of Health & Mental Hygiene Richmond

  • Community Health Clinic/Center
  • Staten Island, NY
  • NPI 1366499444
  NPD (past)
• City of New York Office of Payroll Administration

  dba NYCDOH Morrisania Dist Ctr

  • State or Local Public Health Clinic/Center
  • Bronx, NY
  • NPI 1811925605
  NPD (past)
• City of New York Office of Payroll Administration

  dba NYCDOHMH Bushwick District

  • Community Health Clinic/Center
  • Brooklyn, NY
  • NPI 1912953035
  NPD (past)
• City of New York Office of Payroll Administration

  dba New York City Dept of Health & Mental Hygiene Fort Green District Heal

  • State or Local Public Health Clinic/Center
  • Brooklyn, NY
  • NPI 1982624276
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1437194560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 28TH ST # CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014130",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FLATBUSH AVENUE EXT FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013001",
            "telephone_number": "718-249-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSEN",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1836651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Niles, M.D.
• David Niles, LMT
• Grantley Niles
• Naheem Niles
• Samantha Kaye Nilles
• Noah Edwin Nilson, LCSW
• Sandra Nilson
• Brianna Niman
• Deborah Shifra Niman, P.A.
• James Nimberg

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.