MS. DIANA MARIE FELLIN (NPI# 1700808557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700808557 |
| Entity Type | Individual |
| Full Name | MS. DIANA MARIE FELLIN |
| Credential | CPNP |
| Practice Address |
56-45 Main St New York Hospital Medical Center of Queens Emergency D Flushing NY 11355 |
| Mailing Address |
Po Box 430 % Emergency Practice Plan Flushing NY 11352 |
| Practice Telephone | 7186701231 |
| Practice Fax Number | 6106176280 |
| Mailing Telephone | 6106686491 |
| Mailing Fax Number | 6106176280 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F381269 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
56-45 MAIN ST NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS EMERGENCY D |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245279272 | Seth H Goldbarg | Internal Medicine | 56-45 Main St, New York Hospital Queens, Flushing, NY 11355 | 2006-06-05 |
| 1447811674 | Juliana Hoff | Physician Assistant | 56-45 Main St, Flushing, NY 11355 | 2019-06-27 |
| 1972090421 | Kent Ca Kie Li | Student in an Organized Health Care Education/Training Program | 56-45 Main St, Flushing, NY 11355-5045 | 2018-04-20 |
| 1730676594 | Travis Alan Murphy | Student in an Organized Health Care Education/Training Program | 56-45 Main St, Flushing, NY 11355-5045 | 2018-04-17 |
| 1043746373 | Terrence Wong | Student in an Organized Health Care Education/Training Program | 56-45 Main St, Flushing, NY 11355 | 2017-05-05 |
| 1407382849 | Nathan Zarider | Emergency Medicine | 56-45 Main St, Flushing, NY 11355 | 2017-05-04 |
| 1336674399 | Nirmal Nair | Student in an Organized Health Care Education/Training Program | 56-45 Main St, Flushing, NY 11355-5045 | 2017-04-27 |
| 1669906814 | Andrew Jarrett Mergl | Internal Medicine | 56-45 Main St, Flushing, NY 11355-5045 | 2017-04-14 |
| 1558714998 | Christopher Lizardo | Physician Assistant | 56-45 Main St, Flushing, NY 11355 | 2016-07-21 |
| 1598176984 | Roger Patron Lozano | Colon & Rectal Surgery | 56-45 Main St, Flushing, NY 11355-5045 | 2014-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1881212561 | Lyubov Yushuvayev | Nurse Practitioner | 14159 72nd Cres, Flushing, NY 11367-2329 | 2020-07-09 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1861955932 | April Nicole Conway | Nurse Practitioner | 3047 Shabay Dr, Flushing, MI 48433-2464 | 2019-04-07 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| 1265880793 | Jinyoung Kim | Nurse Practitioner | 7144 160th St Unit 1a, Flushing, NY 11365-3087 | 2016-05-25 |
| 1538555743 | Eunmyung Lee | Nurse Practitioner | 3825 Parsons Blvd Ste 1g, Flushing, NY 11354-5839 | 2015-04-14 |
| 1538120936 | Jennie Maria Lipari | Nurse Practitioner | 3614 165th St, 2cn, Flushing, NY 11358-2042 | 2006-03-28 |
| 1245849538 | Ruzanna Gavriyelova | Nurse Practitioner | 7224 Kissena Blvd, Flushing, NY 11367-2729 | 2020-07-23 |
| 1346636552 | Yeojeong Lee | Nurse Practitioner | 3825 Parsons Blvd Ste 1g, Flushing, NY 11354-5839 | 2015-04-14 |
| Find all providers in FLUSHING | ||||
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| 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.