DIANA MOLLER (NPI# 1477942639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477942639 |
| Entity Type | Individual |
| Full Name | DIANA MOLLER |
| Other Name | DIANA MOLLER |
| Practice Address |
10201 66th Rd North Shore- Lij Forest Hills Forest Hills NY 11375-2029 |
| Mailing Address |
34 N Henry St Valley Stream NY 11580-1929 |
| Practice Telephone | 7188304000 |
| Mailing Telephone | 5165511071 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
018309-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 11-3465690 | 05 |
| Street Address |
10201 66TH RD NORTH SHORE- LIJ FOREST HILLS, |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953415 | Nadine Campbell | Nurse Anesthetist, Certified Registered | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2005-06-23 |
| 1033717764 | Kerrin M Nelson | Registered Nurse | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2020-10-14 |
| 1922615137 | Natalie M Thompson | Advanced Practice Midwife | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2020-09-30 |
| 1285249813 | Kalsang Dickey | Nurse Practitioner | 10201 66th Rd, Forest Hills, NY 11375-7624 | 2020-09-10 |
| 1740891290 | Catherine Pastor | Surgery | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2020-08-10 |
| 1063030690 | Jason Regis Fredrick | Student in an Organized Health Care Education/Training Program | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2020-07-09 |
| 1134747769 | Margarite Soh-choe | Nurse Practitioner | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2020-07-09 |
| 1356962302 | Danielle Geli | Nurse Practitioner | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2020-04-30 |
| 1346869757 | Subhiksha Aravind | Student in an Organized Health Care Education/Training Program | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2020-04-15 |
| 1295364404 | Zab'di Lanette Sanchez Prada | Student in an Organized Health Care Education/Training Program | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780190330 | Elana Yagudayeva | Physician Assistant | 10230 Queens Blvd Apt 5s, Forest Hills, NY 11375-9504 | 2017-12-19 |
| 1053652115 | Ran Choi | Physician Assistant | 108-40 Queens Boulevard, Forest Hills, NY 11375-0000 | 2013-03-13 |
| 1487774469 | Rosa Gonzalez | Physician Assistant | 114- 06 Queens Blvd, Suite 1g, Forest Hills, NY 11375 | 2007-03-31 |
| 1336527159 | Natali Benshimon | Physician Assistant | 10840 Queens Blvd, Forest Hills, NY 11375-5361 | 2015-05-13 |
| 1912304494 | Fatima Moslimani | Physician Assistant | 102-01 66th Road, Forest Hills, NY 11375 | 2014-11-26 |
| 1902202138 | Mark Lieberman | Physician Assistant | 7010 Austin St, Forest Hills, NY 11375-1021 | 2014-11-16 |
| 1992147292 | Inessa Kramerman | Physician Assistant | 10311 68th Dr, Queens Blvd, Forest Hills, NY 11375-3159 | 2013-07-27 |
| 1033426945 | Jean K Woo | Physician Assistant | 10840 Queens Blvd, Forest Hills, NY 11375-5361 | 2010-09-13 |
| 1073836151 | Vallerie Gabriella Djojoseparto | Physician Assistant | 11420 Queens Blvd, Forest Hills, NY 11375-7056 | 2010-03-03 |
| 1265602197 | Chani Berger | Physician Assistant | 6905 Yellowstone Blvd, Forest Hills, NY 11375-3753 | 2008-03-06 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on DIANA MOLLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.