Individual provider Active NPI

Diane Collmar Merenda, D.O.

  • Anesthesiology Physician
  • New Hyde Park, NY
National Provider Identifier
1487650396
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
195532 Issued in NY
Practice address
2800 Marcus Ave
New Hyde Park, NY 11042-1008
Phone
(516) 622-7405
Fax
(516) 622-7401
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 195532 NY Primary

Addresses

Primary practice location

2800 Marcus Ave
New Hyde Park, NY 11042-1008

Mailing address

2800 Marcus Ave
New Hyde Park, NY 11042-1008
Phone (516) 622-7405

Other identifiers 1

IdentifierTypeStateIssuer
01626791MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040325000594 NY Practitioner - Anesthesiology 1759273873 Reassigns benefits to 2 organizations
I20240820000146 FL Practitioner - Anesthesiology 1759273873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5527
Phone (954) 458-1689

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195532NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jul 8, 2024 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Mar 1, 2020 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Jul 8, 2024 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology Past Accepting new patients
North American Partners in Pain Management LLP PastSince Feb 18, 2014 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

Organizations & group practices 7

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1487650396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421008",
            "telephone_number": "516-622-7405",
            "fax_number": "516-622-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421008",
            "telephone_number": "516-622-7405",
            "fax_number": "516-622-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLMAR MERENDA",
        "first_name": "DIANE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "195532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01626791",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.