Organization Active NPI

Diamond Medical Associates PC

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1932314531
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
228860 Issued in NY
Legal business name
DIAMOND MEDICAL ASSOCIATES PC
Practice address
440 Avenue U
Brooklyn, NY 11223-4010
Phone
(718) 627-8700
NPI assigned
May 14, 2007
Last updated
Jun 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Miss Rachel Jacobs
Title
Billing Manager
Phone
(718) 486-0798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 228860 NY Primary

Addresses

Primary practice location

440 Avenue U
Brooklyn, NY 11223-4010

Mailing address

359 Avenue U
Brooklyn, NY 11223-3937

Other identifiers 1

IdentifierTypeStateIssuer
02824904MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000123 NY Part B Supplier - Clinic/Group Practice 6901884287 Receives reassigned benefits from 8 practitioners
Practice locations: Brooklyn, NY; Far Rockaway, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1020681Diamond Medical Associates PC440 Avenue U, Brooklyn, NY 11223Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

550 5th Ave
Ste A
Brooklyn, NY 11215
Phone (718) 638-2551

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1932314531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234010",
            "telephone_number": "718-627-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-486-0798",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "228860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02824904",
            "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 Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.