Individual provider Active NPI

Evan Diamond, M.D.

  • Hematology & Oncology Physician
  • Elmhurst, NY
National Provider Identifier
1457771008
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
290344 Issued in NY
Practice address
8714 57TH Rd # PA
Elmhurst, NY 11373-4870
Phone
(631) 751-3000
Fax
(631) 751-0506
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 290344 NY
Medical Oncology Physician 207RX0202X 290344 NY
Hematology & Oncology Physician 207RH0003X 290344 NY Primary

Addresses

Primary practice location

8714 57TH Rd # PA
Elmhurst, NY 11373-4870

Mailing address

1500 Route 112 BLDG 4
Port Jefferson Station, NY 11776-8055

Other practice location 1

201 E 69th St
Apt 6T
New York, NY 10021-5471
Phone (516) 662-4327

Other practice location 2

201 Lyons Ave
Newark, NJ 07112-2027
Phone (516) 662-4327

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
I20171219000543 NY Practitioner - Internal Medicine 9537427612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209
Phone (574) 835-4509

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290344NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Mar 1, 2021 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Oct 22, 2017 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Oct 22, 2017 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
North Shore Hematology Oncology Associates PC Hematology & Oncology PastSince Sep 5, 2021 Accepting new patients

Locations

8714 57th Rd
Elmhurst, NY 11373
Phone (718) 417-7542

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

1 Delaware Dr
Ste 101
New Hyde Park, NY 11042

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

365 E Montauk Hwy
Patchogue, NY 11772
Phone (631) 654-7370

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

48 Route 25A
Ste 209
Smithtown, NY 11787
Phone (631) 979-6501

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1457771008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 BLDG 4",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 57TH RD # PA",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734870",
            "telephone_number": "631-751-3000",
            "fax_number": "631-751-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E 69th St",
            "address_2": "Apt 6T",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215471",
            "country_code": "US",
            "telephone_number": "516-662-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "516-662-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290344",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "290344",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "290344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.