Active NPI
Diane Gagliardi, NP
- Adult Health Nurse Practitioner
- Amsterdam, NY
National Provider Identifier
1942728498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 308071
- Practice address
- 380 Guy Park Ave
Amsterdam, NY 12010-1065 - Phone
- (518) 841-7415
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 308071 | NY | Primary |
Addresses
Primary practice location
380 Guy Park Ave
Amsterdam, NY 12010-1065
Mailing address
2207 Concord St
Malta, NY 12020-5265
Other names 1
- Diane Greg
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 Guy Park Ave
Amsterdam, NY 12010-1043
Phone (518) 770-7568
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308071 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Schenectady Gastroenterology Associates, PC | Current | Accepting new patients | |
| St. Mary'S Healthcare | Past | Accepting new patients |
Locations
848 State Route 50
Burnt Hills, NY 12027
Phone (518) 831-1500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FECGDD
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1518926401
-
- Gastroenterology Physician
- Burnt Hills, NY
- NPI 1093724767
-
- Psychiatric Hospital Unit
- Amsterdam, NY
- NPI 1164497103
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1811977796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1942728498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 CONCORD ST",
"city": "MALTA",
"state": "NY",
"postal_code": "120205265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 GUY PARK AVE",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120101065",
"telephone_number": "518-841-7415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIARDI",
"first_name": "DIANE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "308071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "GREG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.