Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diverse IPA Inc

Organization Exclusive Provider Organization · NPI 1558113910

Diverse IPA Inc is an Exclusive Provider Organization in Flushing, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13229 Blossom Ave Fl 1
Flushing, NY 11355-4915
Phone: (917) 561-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1558113910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Baoli Zhang — President · (917) 561-0505
NPI enumeratedApril 1, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address13229 Blossom Ave Fl 1, Flushing, NY 11355-4915

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