Individual provider Active NPI

Diya Pennie Guo, AU.D., MPH

  • Audiologist
  • Woodside, NY
National Provider Identifier
1790185346
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002520-1 Issued in NY
Practice address
4610 61St St Apt 15E
Woodside, NY 11377-5732
Phone
(917) 213-7173
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002520-1 NY Primary

Addresses

Primary practice location

4610 61St St Apt 15E
Woodside, NY 11377-5732

Mailing address

4610 61St St Apt 15E
Woodside, NY 11377-5732

Other practice location 1

217 Grand St Ste 6
New York, NY 10013-4396
Phone (212) 962-8069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002520-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Audiology, PLLC Current Accepting new patients

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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1790185346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 61ST ST APT 15E",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 61ST ST APT 15E",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775732",
            "telephone_number": "917-213-7173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Grand St Ste 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134396",
            "country_code": "US",
            "telephone_number": "212-962-8069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUO",
        "first_name": "DIYA",
        "middle_name": "PENNIE",
        "credential": "AU.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002520-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.