Individual provider Active NPI

Diana Cozma, M.D

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1578860672
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD453356 Issued in PA
Practice address
1 Franklintown Blvd
Philadelphia, PA 19103
Phone
(202) 302-4418
NPI assigned
Feb 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD453356 PA Primary

Addresses

Primary practice location

1 Franklintown Blvd
Philadelphia, PA 19103

Mailing address

4243 Frankford Ave
Philadelphia, PA 19124-4520
Phone (215) 276-3922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211004001835 PA Practitioner - Psychiatry 4284032376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5501 Chestnut St
Philadelphia, PA 19139-3205
Phone 21559681001057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Philadelphia Community MH Consortium Inc. CurrentSince Sep 13, 2021 Accepting new patients
West Phila Community Mental Health Consortium, Inc. Psychiatry CurrentSince Sep 13, 2021 Accepting new patients
Wedge Medical Center, PC Past Accepting new patients
West Philadelphia Community MH Consortium Inc. Past Accepting new patients
WMC PastSince Jul 25, 2019 Accepting new patients

Locations

451 S University Ave
Philadelphia, PA 19104
Phone (215) 596-8000

5501 Chestnut St
Philadelphia, PA 19139
Phone (215) 748-8400

3751 Island Ave
Ste 303
Philadelphia, PA 19153

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": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1578860672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244520",
            "telephone_number": "215-276-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FRANKLINTOWN BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "202-302-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZMA",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD453356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.