Individual provider Active NPI

Diane Parsan, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1730133224
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018824-1 Issued in NY
Practice address
3900 Shore Pkwy
Ocean View Medical P.C.
Brooklyn, NY 11235-1130
Phone
(718) 646-5700
Fax
(718) 646-8802
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 018824-1 NY Primary

Addresses

Primary practice location

3900 Shore Pkwy
Ocean View Medical P.C.
Brooklyn, NY 11235-1130

Mailing address

3900 Shore Pkwy
Brooklyn, NY 11235-1130
Phone (718) 646-5700

Other identifiers 1

IdentifierTypeStateIssuer
Q32U4EX981OtherNYPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060525000100 NY Practitioner - Physical Therapist in Private Practice 1355352683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018824-1NYMDPhysical Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1730133224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351130",
            "telephone_number": "718-646-5700",
            "fax_number": "718-646-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SHORE PKWY",
            "address_2": "OCEAN VIEW MEDICAL P.C.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351130",
            "telephone_number": "718-646-5700",
            "fax_number": "718-646-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSAN",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018824-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Q32U4EX981",
            "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 Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.