Individual provider Active NPI

Diana Pechenaya

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1649535618
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2021 84TH St
Apt. 2H
Brooklyn, NY 11214-2457
Phone
(917) 686-5256
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2021 84TH St
Apt. 2H
Brooklyn, NY 11214-2457

Mailing address

2021 84TH St
Apt. 2H
Brooklyn, NY 11214-2457

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpechenaya133175@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 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
I20121102000310 NY Practitioner - Physician Assistant 0345491148 Reassigns benefits to 1 organization
I20200313000080 MD Practitioner - Physician Assistant 0345491148 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 31, 2018 Accepting new patients
New York University CurrentSince Jan 31, 2018 Accepting new patients
Johns Hopkins University CurrentSince Feb 27, 2020 Accepting new patients
Johns Hopkins University CurrentSince Feb 27, 2020 Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 5

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1649535618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 84TH ST",
            "address_2": "APT. 2H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 84TH ST",
            "address_2": "APT. 2H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142457",
            "telephone_number": "917-686-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHENAYA",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpechenaya133175@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "150 55th Street,NYU Dept of Emergency Medicine",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.