DIANA PAK
NPI 1760332274
Nurse Practitioner - Family in Glendale, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diana Pak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Diana Pak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11205
- Reassigned Medicare billing, New York enrollment
- 73 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
GLENDALE, NY 11385
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.
Which organization bills Medicare for Diana Pak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diana Pak reassigns Medicare benefits to Prominis Medical Services PC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diana Pak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Diana Pak · NPI 1760332274
Family physician in Glendale, New York. Individual provider, active in the CMS NPPES registry since February 3, 2026.
## Identity
- **NPI:** 1760332274 (Entity type: Individual)
- **Enumerated:** February 3, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F358904 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6829 MYRTLE AVE, Glendale, NY 11385-7234
- **Phone:** (718) 821-4424
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prominis Medical Services PC (NPI 1841323771, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** May 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760332274) · Data from the CMS NPPES public registry.