Individual provider Active NPI

Diana Macaulay

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1447722707
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343383 Issued in NY
Practice address
2118 Coney Island Ave
Brooklyn, NY 11223-2347
Phone
(718) 375-0040
Fax
(718) 375-0063
NPI assigned
Dec 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 343383 NY Primary

Addresses

Primary practice location

2118 Coney Island Ave
Brooklyn, NY 11223-2347

Mailing address

2118 Coney Island Ave
Brooklyn, NY 11223-2347
Phone (718) 375-0040

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125000967 NY Practitioner - Nurse Practitioner 7012254295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
E and G Heathcare, N.P. in Family Health P.L.L.C..Group PAC ID 3476876681, 4 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

209 Steinway Ave
Staten Island, NY 10314-4820
Phone (718) 698-6700

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Single Specialty CurrentSince Dec 19, 2020 Accepting new patients
E & G Heathcare, N.P. in Family Health P.L.L.C. Single Specialty CurrentSince Dec 18, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

209 Steinway Ave
Staten Island, NY 10314
Phone (718) 698-6700

Networks

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

Interoperability endpoints

  • Direct secure messaging: dmacaulay60788@northwell.direct-ci.com
  • Direct secure messaging: dianamacaulay@eaghnifhp-ny.direct.office.nextgen.com
  • Direct secure messaging: dianamacaulay@mai.allscriptsdirect.net

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": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1447722707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232347",
            "telephone_number": "718-375-0040",
            "fax_number": "718-375-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232347",
            "telephone_number": "718-375-0040",
            "fax_number": "718-375-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULAY",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.