Individual provider Active NPI

Diana Nutu, DPM

  • Sports Medicine Podiatrist
  • New York, NY
National Provider Identifier
1497335210
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
007381 Issued in NY
Practice address
11 E 47TH St FL 2
New York, NY 10017-1919
Phone
(855) 863-3668
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 007381 NY
Sports Medicine Podiatrist 213ES0000X 007381 NY Primary

Addresses

Primary practice location

11 E 47TH St FL 2
New York, NY 10017-1919

Mailing address

11 E 47TH St FL 2
New York, NY 10017-1919
Phone (855) 863-3668

Other practice location 1

1810 College Point Blvd
College Point, NY 11356-2221
Phone (855) 863-3668

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731003053 NY Practitioner - Podiatry 4587101167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007381NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1497335210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E 47TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171919",
            "telephone_number": "855-863-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 47TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171919",
            "telephone_number": "855-863-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 College Point Blvd",
            "address_purpose": "LOCATION",
            "city": "College Point",
            "state": "NY",
            "postal_code": "113562221",
            "country_code": "US",
            "telephone_number": "855-863-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUTU",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007381",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "007381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.