Individual provider Active NPI

Diana Susan Hurwitz

  • Dermatology Physician
  • Greenwich, CT
National Provider Identifier
1467438705
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
020271 Issued in NY
Practice address
4 Dearfield Dr
Greenwich, CT 06831-5351
Phone
(212) 249-8884
Fax
(212) 249-8884
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 020271 NY Primary

Addresses

Primary practice location

4 Dearfield Dr
Greenwich, CT 06831-5351

Mailing address

4 Dearfield Dr Ste 106
Greenwich, CT 06831-5351
Phone (212) 249-8884

Other practice location 1

4 Dearfield Dr
Greenwich, CT 06831-5351
Phone (212) 249-8884

Other identifiers 17

IdentifierTypeStateIssuer
0005000482OtherNYAETNA NON HMO
133884168OtherNYPOMCO
133884168OtherNYHORIZON HEALTHCARE OF NY
133884168OtherNYEMPIRE STATE PLAN (NYS)
220271OtherNYCONNECTICARE
2K8981/2K8982OtherNYBLUE CROSS PPO
P875670OtherNYOXFORD
0839247-010OtherNYCIGNA (SPEC) PPO ONLY
1427353OtherNYUNITED HEALTH CARE
070017752OtherNYRAILROAD MEDICARE
202271-3WOtherNYWORKERS COMPENSATION
2299480OtherNYGHO PPO
000000075724OtherNYGHI HMO
133884168OtherNYMULTIPLAN
3126642OtherNYAETNA HMO
133884168OtherNYHIP
133884168OtherNYPHCS

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
I20040412001016 NY Practitioner - Dermatology 0143214395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Icahn School of Medicine at Mount Sinai, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Dermatology, PCGroup PAC ID 8022021732, 40 clinicians

Practice addresses (Care Compare)

969 Main St
Suite D
Fishkill, NY 12524-1791
Phone (845) 896-7730

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions88
Removal or shaving of skin growth1-10
Skin biopsy63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020271NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Group PC CurrentSince May 8, 1998 Accepting new patients
Westchester Medical Group, P.C. Dermatology CurrentSince May 8, 1998 Accepting new patients
Hudson Dermatology, PC Dermatology CurrentSince Jun 1, 2025 Accepting new patients

Locations

55 Quaker Ave
Ste 202
Cornwall, NY 12518
Phone (845) 458-8188

969 Main St
Ste D
Fishkill, NY 12524
Phone (845) 896-7730

98 Green St
Ste 4
Hudson, NY 12534
Phone (518) 412-3300

40 Hurley Ave
Ste 10
Kingston, NY 12401
Phone (845) 338-3200

29 Fox St
Fl 4
Poughkeepsie, NY 12601
Phone (845) 473-2350

3020 Westchester Ave
Purchase, NY 10577
Phone (914) 253-6464

1 Theall Rd
Rye, NY 10580
Phone (914) 848-8700

336 Route 202
Ste 2
Somers, NY 10589
Phone (914) 617-8950

155 White Plains Rd
Ste 109
Tarrytown, NY 10591
Phone (914) 366-6139

210 Westchester Ave
Fl 3
White Plains, NY 10604
Phone (914) 682-6532

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

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

Organizations & group practices 4

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1467438705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DEARFIELD DR STE 106",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315351",
            "telephone_number": "212-249-8884",
            "fax_number": "212-249-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DEARFIELD DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315351",
            "telephone_number": "212-249-8884",
            "fax_number": "212-249-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Dearfield Dr",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068315351",
            "country_code": "US",
            "telephone_number": "212-249-8884",
            "fax_number": "212-249-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURWITZ",
        "first_name": "DIANA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "020271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "0005000482",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "133884168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HEALTHCARE OF NY",
            "identifier": "133884168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE STATE PLAN (NYS)",
            "identifier": "133884168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "220271",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PPO",
            "identifier": "2K8981/2K8982",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P875670",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (SPEC) PPO ONLY",
            "identifier": "0839247-010",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1427353",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070017752",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "202271-3W",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHO PPO",
            "identifier": "2299480",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000075724",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "133884168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3126642",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "133884168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "133884168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.