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

Individual provider Internal Medicine Physician · NPI 1568775104

Dr. Johaira Lidasan Dianalan, MD is an Internal Medicine in Flushing, New York. Qualified in 1998, 28 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14015 Sanford Ave
Flushing, NY 11355-2686
Phone: (718) 826-4000
Fax: (718) 826-4075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 31-75 23rd Street, Astoria, NY 11106-4134 — (718) 956-2200
  • 1650 Grand Concourse, Bronx, NY 10457-7606 — (718) 960-1234
  • 1650 Grand Concourse, Bronx, NY 10457-7606 — (718) 960-1234
  • 96-10 Metropolitan Ave, Forest Hills, NY 11375-6625 — (718) 459-0400

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 271857 (NY)

Record details

NPI number1568775104
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 25, 2010
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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