Active NPI
Diane Li Nathan, MD
- Diagnostic Radiology Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60319364
- Practice address
- 350 Engle Street
Dept of Radiology, Englewood Hospital and Medical Ctr
Englewood, NJ 07631 - Phone
- (201) 894-3480
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD60319364 | WA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME170676 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | MD442336 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA12023800 | NJ |
Addresses
Primary practice location
350 Engle Street
Dept of Radiology, Englewood Hospital and Medical Ctr
Englewood, NJ 07631
Mailing address
PO Box 525
Mercer Island, WA 98040-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2030315 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12023800 | NJ | MD | Diagnostic Radiology Physician |
| MD442336 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Englewood Radiologic Group P a | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| South Sound Radiologists Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Outpatient Services Inc | Current | Accepting new patients | |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Outpatient Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients | |
| Univ of Penn Community Radiology | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 30)
6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020
8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409
3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
1221 Madison St
Ste 1401
Seattle, WA 98104
Phone (206) 386-6700
1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399
1600 E Jefferson St
Seattle, WA 98122
Phone (206) 320-3700
203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151
Organizations & group practices 20
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.
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1437127529
-
- Diagnostic Radiology Physician
- Kirkland, WA
- NPI 1922095694
-
- Medical Specialty Clinic/Center
- Tonasket, WA
- NPI 1750443834
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1932196607
-
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1902990500
-
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
-
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
- Home Infusion Therapy Pharmacy
- Miami Lakes, FL
- NPI 1316662299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1689874877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 525",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980400525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE STREET",
"address_2": "DEPT OF RADIOLOGY, ENGLEWOOD HOSPITAL AND MEDICAL CTR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-894-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "DIANE",
"middle_name": "LI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60319364",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME170676",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD442336",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA12023800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2030315",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.