Individual provider Active NPI

Daria Degtyareva

  • Medical Art Specialist/Technologist
  • Brooklyn, NY
National Provider Identifier
1538747308
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X
Practice address
2929 W 31St St Apt 1L2
Brooklyn, NY 11224-1707
Phone
(917) 930-9033
NPI assigned
Mar 31, 2021
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/Technologist 246ZA2600X NU Primary

Addresses

Primary practice location

2929 W 31St St Apt 1L2
Brooklyn, NY 11224-1707

Mailing address

2929 W 31St St Apt 1L2
Brooklyn, NY 11224-1707
Phone (917) 930-9033

Other identifiers 2

IdentifierTypeStateIssuer
3000877905OtherZEM INSURANCE SOLUTIONS
JLJ716566894MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.dariadart.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1538747308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 W 31ST ST APT 1L2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241707",
            "telephone_number": "917-930-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 W 31ST ST APT 1L2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241707",
            "telephone_number": "917-930-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGTYAREVA",
        "first_name": "DARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ZEM INSURANCE SOLUTIONS",
            "identifier": "3000877905",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JLJ716566894",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dariadart.com",
            "affiliation": "N",
            "endpointDescription": "web site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2929 W 31st St Apt 1L2",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112241707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.