Active NPI
Diamond Medical Associates PC
- General Practice Physician
- Brooklyn, NY
National Provider Identifier
1932314531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 228860
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02824904 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1020681 | Diamond Medical Associates PC | Certificate of waiver | Aug 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
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-
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-
- Internal Medicine Physician
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- NPI 1285047092
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- Internal Medicine Physician
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- Family Nurse Practitioner
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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.