Individual provider Active NPI

Denise Diamantis, RN

  • Case Management Registered Nurse
  • Kew Gardens, NY
National Provider Identifier
1962661520
Registry record updated Jun 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
490039-1 Issued in NY
Practice address
12360 83Rd Ave # Qve
Kew Gardens, NY 11415-3452
Phone
(718) 793-4959
NPI assigned
Jun 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 490039-1 NY Primary
Home Health Registered Nurse 163WH0200X 490039-1 NY

Addresses

Primary practice location

12360 83Rd Ave # Qve
Kew Gardens, NY 11415-3452

Mailing address

12360 83Rd Ave # Qve
Kew Gardens, NY 11415-3452
Phone (718) 793-4959

Other identifiers 1

IdentifierTypeStateIssuer
01790789MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
490039-1NYMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212883200000",
    "number": "1962661520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 83RD AVE # QVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153452",
            "telephone_number": "718-793-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 83RD AVE # QVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153452",
            "telephone_number": "718-793-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANTIS",
        "first_name": "DENISE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "490039-1",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "490039-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01790789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.