Active NPI
Diana A Kaplan, D.O.
- Pediatric Endocrinology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 299995
- Practice address
- 101 Nicolls Rd # T11-080
Stony Brook, NY 11794-8111 - Phone
- (631) 444-3429
- NPI assigned
- Mar 27, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Endocrinology Physician | 2080P0205X | 299995 | NY | Primary |
Addresses
Primary practice location
101 Nicolls Rd # T11-080
Stony Brook, NY 11794-8111
Mailing address
3053 Lonni LN
Merrick, NY 11566-5130
Phone (516) 521-7577
Other practice location 1
Stony Brook Medicine Dept Of Pediatrics
HSC T-11, Room 040
Stony Brook, NY 11794-8111
Phone (631) 444-2020
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 Sunrise Hwy
Islip Terrace, NY 11752-2642
Phone (631) 638-2375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Children'S Service, University Faculty Practice Corporatio | Current | Accepting new patients | |
| Neurology Associates of Stony Brook, University Faculty Practice Corpo | Past | Accepting new patients | |
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Past | Accepting new patients |
Locations
500 Commack Rd
Ste 104
Commack, NY 11725
Phone (631) 638-0150
269 E Main St
East Islip, NY 11730
Phone (631) 312-3493
2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300
4 Smith Haven Mall
Ste 101
Lake Grove, NY 11755
Phone (631) 444-7337
100 Nicolls Rd
Rm 60
Stony Brook, NY 11794
Phone (631) 444-7653
101 Nicolls Rd
#T11080
Stony Brook, NY 11794
Phone (631) 444-3429
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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.
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- Neurology Physician
- Stony Brook, NY
- NPI 1699720888
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1982066130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3053 LONNI LN",
"city": "MERRICK",
"state": "NY",
"postal_code": "115665130",
"telephone_number": "516-521-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD # T11-080",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948111",
"telephone_number": "631-444-3429"
}
],
"practiceLocations": [
{
"address_1": "Stony Brook Medicine Dept Of Pediatrics",
"address_2": "HSC T-11, Room 040",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117948111",
"country_code": "US",
"telephone_number": "631-444-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAPLAN",
"first_name": "DIANA",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-27",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NY",
"license": "299995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.