Individual provider Active NPI

Diane Li Nathan, MD

  • Diagnostic Radiology Physician
  • Englewood, NJ
National Provider Identifier
1689874877
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60319364 Issued in WA
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

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2030315MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130807000221 WA Practitioner - Diagnostic Radiology 9830377977 Reassigns benefits to 10 organizations
I20241226002236 FL Practitioner - Diagnostic Radiology 9830377977 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12023800NJMDDiagnostic Radiology Physician
MD442336PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Nov 1, 2015 Accepting new patients
Wenatchee Valley Hospital CurrentSince Oct 1, 2015 Accepting new patients
Swedish Health Services CurrentSince Dec 3, 2020 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Swedish Health Services CurrentSince Dec 3, 2020 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Nov 12, 2015 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Nov 12, 2015 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Oct 19, 2024 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Nov 1, 2015 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 19, 2024 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Nov 1, 2015 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Oct 19, 2024 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Swedish Health Services PastSince Nov 1, 2015 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.

View all 20

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

Verify at the official NPI Registry.