Individual provider Active NPI

Diana Linetskaya, M.D.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1932256179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
231726 Issued in NY
Practice address
1049 5TH Ave
Suite 2D
New York, NY 10028-0115
Phone
(212) 439-1999
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 231726 NY Primary

Addresses

Primary practice location

1049 5TH Ave
Suite 2D
New York, NY 10028-0115

Mailing address

54 Leif Blvd
Congers, NY 10920-1312
Phone (646) 338-6167

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
I20041105000175 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3072576636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Vista Medical PCGroup PAC ID 8628240215, 45 clinicians

Practice addresses (Care Compare)

15 Laurel Ave
Suite 100
Cornwall, NY 12518-1403
Phone (845) 458-9000

19 Laurel Ave
Cornwall, NY 12518-1403

70 Dubois St
FL 5
Newburgh, NY 12550-4851

Hospital & facility affiliations

  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Vista Medical,PC CurrentSince Nov 1, 2017 Accepting new patients

Locations

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

70 Dubois St
Fl 5
Newburgh, NY 12550
Phone (845) 568-2231

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: dlinetskaya68011@northwell.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932256179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LEIF BLVD",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201312",
            "telephone_number": "646-338-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 5TH AVE",
            "address_2": "SUITE 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280115",
            "telephone_number": "212-439-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINETSKAYA",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "231726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.