Individual provider Active NPI

Diana Guerra

  • Vascular & Interventional Radiology Physician
  • New York, NY
National Provider Identifier
1922886209
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
F310626-01 Issued in NY
Practice address
525 E 68TH St # 5
New York, NY 10065-4870
Phone
(786) 457-3216
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X F310626-01 NY Primary

Addresses

Primary practice location

525 E 68TH St # 5
New York, NY 10065-4870

Mailing address

425 Main St Apt 7N
New York, NY 10044-0242
Phone (786) 457-3216

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000304 NY Practitioner - Nurse Practitioner 1759725211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1305 York Ave
FL 3
New York, NY 10021-5663
Phone (212) 746-6000

520 E 70TH St
New York, NY 10021-9800
Phone (212) 746-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F310626-01NYMDVascular & Interventional Radiology Physician
310626NYMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Cornell Imaging at New York Presbyterian Vascular & Interventional Radiology CurrentSince Jan 16, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 17, 2024 Accepting new patients
Weill Cornell Medical Imaging Vascular & Interventional Radiology CurrentSince Jan 16, 2024 Accepting new patients
Weill Medical College of Cornell Vascular & Interventional Radiology CurrentSince Jan 17, 2024 Accepting new patients

Locations

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

525 E 68th St
#5
New York, NY 10065
Phone (212) 746-2771

Organizations & group practices 4

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1922886209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MAIN ST APT 7N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440242",
            "telephone_number": "786-457-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST # 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "786-457-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "F310626-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.