Individual provider Active NPI

Nicole Diaz-Segarra, MD

  • Physical Medicine & Rehabilitation Physician
  • Schenectady, NY
National Provider Identifier
1699125831
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
309256 Issued in NY
Practice address
1270 Belmont Ave
Schenectady, NY 12308-2104
Phone
(518) 382-4560
Fax
(518) 386-3619
NPI assigned
Jun 19, 2016
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 309256 NY Primary
Internal Medicine Physician 207R00000X MT211326 PA

Addresses

Primary practice location

1270 Belmont Ave
Schenectady, NY 12308-2104

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210614001995 NY Practitioner - Physical Medicine and Rehabilitation 0244521961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Cooper Medical School of Rowan University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Wound Physician Services PLLCGroup PAC ID 6406170497, 7 clinicians

Practice addresses (Care Compare)

3230 Church St
Valatie, NY 12184-2303
Phone (518) 758-6222

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
61.46
Promoting interoperability
100
Improvement activities
40
Cost
81.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT211326PAMDInternal Medicine Physician
309256NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyview Hospital and Rehabilitation Center Physical Medicine & Rehabilitation CurrentSince Jul 1, 2021 Accepting new patients
Empire Wound Physician Services, PLLC CurrentSince Jul 22, 2024 Accepting new patients
Vohra Wound Physicians of Ny, PLLC CurrentSince Sep 18, 2023 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

325 Northern Blvd
Albany, NY 12204
Phone (518) 328-3605

90 N Main St
Castleton on Hudson, NY 12033
Phone (518) 732-0167

28 Kellogg Rd
Cortland, NY 13045
Phone (607) 753-6060

5920 Van Doren St
Flushing, NY 11368
Phone (718) 592-2000

170 Warren St
Glens Falls, NY 12801
Phone (518) 793-5163

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500

50 Main St
White Plains, NY 10606
Phone (914) 682-2137

Interoperability endpoints

  • Direct secure messaging: ndiazsegarra1044196@direct.trinity-health.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1699125831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 BELMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082104",
            "telephone_number": "518-382-4560",
            "fax_number": "518-386-3619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ-SEGARRA",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-19",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "309256",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT211326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1270 Belmont Ave",
            "city": "Schenectady",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123082104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.