Active NPI
Diem N. Dao, WHNP
- Women's Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1659695229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F420914
- Practice address
- 94-98 Manhattan Avenue
Brooklyn, NY 11206-2501 - Phone
- (718) 388-0390
- Fax
- (718) 486-5741
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305078 | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | F420914 | NY | Primary |
Addresses
Primary practice location
94-98 Manhattan Avenue
Brooklyn, NY 11206-2501
Mailing address
79 Madison Ave
Floor 6
New York, NY 10016-7802
Phone (212) 554-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F305078 | NY | MD | Adult Health Nurse Practitioner |
| F420914 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Healthcare Network, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Long Island City, NY
- NPI 1720581697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270252800000",
"number": "1659695229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 MADISON AVE",
"address_2": "FLOOR 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167802",
"telephone_number": "212-554-2400",
"fax_number": "646-312-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-98 MANHATTAN AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112062501",
"telephone_number": "718-388-0390",
"fax_number": "718-486-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAO",
"first_name": "DIEM",
"middle_name": "N.",
"credential": "WHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305078",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F420914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"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 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.