Individual provider Active NPI

Dioanne Adsuara, MSN, NP-P, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1942880281
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404421 Issued in NY
Practice address
3425 Vernon Blvd
Long Island City, NY 11106-5121
Phone
(844) 815-1508
NPI assigned
Apr 12, 2021
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404421 NY Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 671002 NY

Addresses

Primary practice location

3425 Vernon Blvd
Long Island City, NY 11106-5121

Mailing address

3425 Vernon Blvd RM 216
Astoria, NY 11106-5121
Phone (718) 726-8484

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
I20230404002465 NY Practitioner - Nurse Practitioner 7810367455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Houses of Long Island IncGroup PAC ID 4880584101, 10 clinicians

Practice addresses (Care Compare)

3411 Vernon Blvd
Long Island City, NY 11106-5121
Phone (646) 505-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
671002NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Houses of Long Island, Inc. CurrentSince Dec 30, 2022 Accepting new patients

Locations

3411 Vernon Blvd
Long Island City, NY 11106
Phone (646) 505-2003

3411 Vernon Blvd
Rm 216
Long Island City, NY 11106

3425 Vernon Blvd
Long Island City, NY 11106
Phone (212) 831-1555

153A Lake Shore Rd
Ronkonkoma, NY 11779
Phone (631) 306-5710

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1942880281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 VERNON BLVD RM 216",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111065121",
            "telephone_number": "718-726-8484",
            "fax_number": "718-210-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 VERNON BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111065121",
            "telephone_number": "844-815-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADSUARA",
        "first_name": "DIOANNE",
        "credential": "MSN, NP-P, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404421",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "671002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.