Individual provider Active NPI

Namyshaye O. Perrier-Diaz, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1548593163
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15024900 Issued in NJ
Practice address
462 First Avenue
Bellevue Hospital Center
New York, NY 10016-9196
Phone
(212) 562-6561
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335908 NY
Family Nurse Practitioner 363LF0000X 26NJ15024900 NJ Primary

Addresses

Primary practice location

462 First Avenue
Bellevue Hospital Center
New York, NY 10016-9196

Mailing address

462 First Avenue
Bellevue Hospital Center
New York, NY 10016-9196
Phone (212) 562-6561

Other practice location 1

355 Grand St
Jersey City, NJ 07302-4321
Phone (732) 937-8939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140723000404 NY Practitioner - Nurse Practitioner 3274701412 Reassigns benefits to 4 organizations
I20240213000642 NJ Practitioner - Nurse Practitioner 3274701412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Practice addresses (Care Compare)

355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
006306CTMDPediatric Dentist
26NJ15024900NJMDFamily Nurse Practitioner
335908NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Observation Associates LLC CurrentSince Jan 7, 2024 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Family CurrentSince Jan 7, 2024 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Aug 17, 2024 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 26, 2017 Accepting new patients
Josef Schenker MD PC CurrentSince May 2, 2023 Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: nperrierdiaz680914@nychhc.direct-ci.com

Organizations & group practices 6

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": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1548593163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 FIRST AVENUE",
            "address_2": "BELLEVUE HOSPITAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 FIRST AVENUE",
            "address_2": "BELLEVUE HOSPITAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Grand St",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073024321",
            "country_code": "US",
            "telephone_number": "732-937-8939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRIER-DIAZ",
        "first_name": "NAMYSHAYE",
        "middle_name": "O.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15024900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.