DR. DIANA TRISTER (NPI# 1609004464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609004464 |
| Entity Type | Individual |
| Full Name | DR. DIANA TRISTER |
| Credential | D.O |
| Practice Address |
4802 10th Ave Brooklyn NY 11219-2916 |
| Mailing Address |
141 Massasoit Rd Worcester MA 01604-3318 |
| Practice Telephone | 7182836000 |
| Mailing Telephone | 5087549950 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
254413 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4802 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943871 | Samantha Paige Jellinek | Pharmacist | 4802 10th Ave, Brooklyn, NY 11219-2844 | 2005-06-21 |
| 1730789959 | Arjun Basnet | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-27 |
| 1679171623 | Shehanaz Shajahan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-13 |
| 1215534524 | Syed Mohammad Mazhar Uddin | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-08 |
| 1619581899 | Laurel Wright | Psychologist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-09-03 |
| 1780296749 | Rabiah Ashraf | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-08-20 |
| 1275142820 | Jenna Danae Katherine Kroeker | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-29 |
| 1720696347 | Jay Donald Keith | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-20 |
| 1003424912 | Amit Dhaliwal | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| 1912515826 | Supraja Achuthanandan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881857159 | James Nathan Robinson | Family Medicine | 148-168 39th St, Floor 7, Brooklyn, NY 11232 | 2008-07-08 |
| 1609287770 | Patrick Cleary | Family Medicine | 150 55th St, Brooklyn, NY 11220 | 2014-05-12 |
| 1346662947 | Haidy Rivero | Family Medicine | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2014-01-16 |
| 1497073274 | Christine Shaneeza Persaud | Family Medicine | 450 Clarkson Ave, Brooklyn, NY 11203 | 2010-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638012 | Sports Medicine Specialist P.C. | Family Medicine | 1578 Williamsbridge Rd # 3d, Bronx, NY 10461-6265 | 2020-04-20 |
| 1588104855 | Winston Medical PC | Family Medicine | 10814 72nd Ave Ste 4, Forest Hills, NY 11375-5301 | 2017-03-06 |
| 1649680240 | Makoto Michael Yoshino | Family Medicine | 22 W 21st St Ste 400, New York, NY 10010 | 2014-05-05 |
| 1215378369 | Elan Luria Goldwaser | Family Medicine | 1 Pondfield Road, 1st Floor, Bronxville, NY 10708 | 2013-07-17 |
| 1134431554 | Joseph Weber-lopez | Family Medicine | 158 E Main St Ste 3, Huntington, NY 11743-2988 | 2010-07-14 |
| 1639332422 | Marlon Stephen Mathews | Family Medicine | 184 Losson Road, Cheektowaga, NY 14227 | 2008-07-02 |
| 1598954158 | Anthony Cappellino Md PC | Family Medicine | 60 Fleets Point Dr, Suite 1, West Babylon, NY 11704-8314 | 2007-10-19 |
| 1356565790 | Christine Anne Blonski | Family Medicine | 2619 Culver Rd Ste 2a, Rochester, NY 14609-1738 | 2007-04-13 |
| 1265505036 | Si Medical Practice Associate PC | Family Medicine | 1147 Richmond Road, Staten Island, NY 10304 | 2006-11-17 |
| 1689769366 | Steven Andre Radi | Family Medicine | 1 College Cir, Geneseo, NY 14454-1401 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DIANA TRISTER.
| 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.