Individual provider Active NPI

Diana Martins Pereira, P.A.

  • Physician Assistant
  • New York, NY
National Provider Identifier
1689840431
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007735-1 Issued in NY
Practice address
425 E 61St St
Breast Center, 8TH Floor
New York, NY 10065-8722
Phone
(212) 821-0833
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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 007735-1 NY Primary

Addresses

Primary practice location

425 E 61St St
Breast Center, 8TH Floor
New York, NY 10065-8722

Mailing address

425 E 61St St
Breast Center, 8TH Floor
New York, NY 10065-8722
Phone (212) 821-0833

Other names 1

  • Diana Martins Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151009001490 NY Order and Referring Only - Physician Assistant 7517275688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007735NYMDAcupuncturist
007735-1NYMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1689840431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST",
            "address_2": "BREAST CENTER, 8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658722",
            "telephone_number": "212-821-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST",
            "address_2": "BREAST CENTER, 8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658722",
            "telephone_number": "212-821-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "DIANA",
        "middle_name": "MARTINS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007735-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "MARTINS",
            "credential": "P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.