Individual provider Active NPI

Diane Marie Rhoden, M.D.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1588076582
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2719041 Issued in NY
Practice address
280 Henry St
New York, NY 10002-4816
Phone
(212) 227-8401
Fax
(212) 349-9385
NPI assigned
May 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2719041 NY Primary

Addresses

Primary practice location

280 Henry St
New York, NY 10002-4816

Mailing address

8714 129TH St Apt 1D
Richmond Hill, NY 11418-2709
Phone (646) 872-9549

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729009074 NY Practitioner - Family Practice 9739493149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York Downstate Medical Center, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Floating Hospital IncGroup PAC ID 0547367120, 17 clinicians

Practice addresses (Care Compare)

1029 41St Ave
Long Island City, NY 11101-7346
Phone (718) 361-6266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2719041NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Floating Hospital Inc. CurrentSince Sep 23, 2020 Accepting new patients
The Floating Hospital Inc. CurrentSince Sep 23, 2020 Accepting new patients
The Floating Hospital Inc. Past Accepting new patients

Locations

4140 27th St
Long Island City, NY 11101

2515 Queens Plz N
Long Island City, NY 11101
Phone 7187842240144

2101 41st Ave
Long Island City, NY 11101
Phone (718) 691-6307

1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

Networks

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

Interoperability endpoints

  • Direct secure messaging: diane.rhoden.1@22829.direct.athenahealth.com

Organizations & group practices 3

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": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1588076582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 129TH ST APT 1D",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182709",
            "telephone_number": "646-872-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HENRY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024816",
            "telephone_number": "212-227-8401",
            "fax_number": "212-349-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODEN",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-24",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2719041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.