MICHELE A DYAN MD NPI 1194710202

NPI Information

NPI: 1194710202
Provider Name: MICHELE A DYAN, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
4802 10TH AVE
BROOKLYN, NY
ZIP 11219
Phone: (718) 283-8853
Get Directions

Michele A Dyan, MD is a neonatal-perinatal medicine pediatrics in Brooklyn, NY. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Michele A Dyan, MD NPI is 1194710202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4802 10TH AVE
BROOKLYN, NY
ZIP 11219-844
Phone: (718) 283-8853
Fax: (718) 635-7235

The NPI 1194710202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	183542	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	550291	OTHER	NEW YORK	EMPIRE BCBS
2	183542	OTHER	NEW YORK	HIP
3	183542-A15	OTHER	NEW YORK	HEALTH FIRST
4	P1010725	OTHER	NEW YORK	OXFORD HEALTH PLANS
5	550291	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
6	G15359	MEDICARE UPIN	NEW YORK
7	01371140	MEDICAID	NEW YORK
8	2699528	OTHER	NEW YORK	GHI
9	1861255	OTHER	NEW YORK	UNITED HEALTH CARE
10	4C4441	OTHER	NEW YORK	HEALTH NET
11	BK00944-03	OTHER	NEW YORK	AMERICHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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