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DIANA PAK
NPI 1760332274
Nurse Practitioner - Family in Glendale, NY

Active since February 03, 2026PECOS Enrolled
6829 MYRTLE AVE, GLENDALE, NY 11385(718) 821-4424 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, May 13, 2026, Feb 3, 2026 (3 updates tracked since 2026).

About Diana Pak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA PAK (NPI 1760332274) is an individual family provider in Glendale, New York, licensed in New York (F358904) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1760332274
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA PAK
Location Address6829 MYRTLE AVEGlendale, NY 11385-7234
Mailing Address6829 Myrtle AveGlendale, NY 11385-7234 · (718) 821-4424
Phone(718) 821-4424
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateFebruary 3, 2026
Last NPPES UpdateMay 27, 20263 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1760332274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F358904
6829 MYRTLE AVE, Glendale, NY 11385
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Pak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719458900
PECOS Enrollment IDI20260609001347
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARGARITA UKMAN NP
Nurse Practitioner (Adult Health)
6829 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 821-4424
NINA MARIANA MAGDALENA ANDRIAS-NG FNP-C
Nurse Practitioner (Family)
6829 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 821-4424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Pak's NPI number?

The NPI number for Diana Pak is 1760332274. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Diana Pak located?

Diana Pak practices at 6829 Myrtle Ave, Glendale, NY 11385. The listed phone number is (718) 821-4424.

What is Diana Pak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Diana Pak enrolled in Medicare?

Yes. Diana Pak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Pak was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.