Active NPI
Diana Nutu, DPM
- Sports Medicine Podiatrist
- New York, NY
National Provider Identifier
1497335210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- 007381
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240731003053 | NY | Practitioner - Podiatry | 4587101167 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007381 | NY | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.