DIANE FAHMY (NPI# 1972028504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972028504 |
| Entity Type | Individual |
| Full Name | DIANE FAHMY |
| Practice Address |
58 Wildwood Ter Watchung NJ 07069-5815 |
| Practice Telephone | 9089178904 |
| Practice Fax Number | 9088222234 |
| Mailing Telephone | 19089178904 |
| Mailing Fax Number | 9088222234 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00664600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 58 Wildwood Ter, Watchung, NJ 070695815 | 9089178904 | 9088222234 |
| Street Address |
58 WILDWOOD TER |
| City | WATCHUNG |
| State | NJ |
| Zip Code | 07069-5815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669976494 | Revital Eyes Nj Inc | Optometrist | 1515 Rt 22 West, Watchung, NJ 07069 | 2018-03-18 |
| 1336678762 | Dana Silagi | Dentist | 121 Valley Rd, Watchung, NJ 07069 | 2017-06-08 |
| 1295286193 | Pragnesh Patel | Pharmacist | 1501 Us Hwy 22, Walmart Pharmacy, Watchung, NJ 07069 | 2016-10-17 |
| 1457722803 | Ashraf Medical Md.pa | Exclusive Provider Organization | 475 Watchung Ave Suite 8, Watchung, NJ 07069 | 2015-10-12 |
| 1528458288 | Derrell Sloane | Pharmacy Technician | 1155 Rt. 22w, Watchung, NJ 07069 | 2015-02-02 |
| 1841547999 | Stephen John Kustera | Physical Medicine & Rehabilitation | 35 Sequoia Dr., Watchung, NJ 07069 | 2012-08-08 |
| 1568726438 | Manoocher Fateh | Specialist | 536 Johnston Drive, Watchung, NJ 07069 | 2012-06-26 |
| 1609168418 | Renu M Cheng | Physical Therapist | 170 Hill Hollow Road, Watchung, NJ 07069 | 2011-05-11 |
| 1356516173 | Robert Edward Knapp | General Practice | 40 Reynolds Dr, Watchung, NJ 07069 | 2008-04-23 |
| 1104048719 | Jbc Therapeutic Services, Inc. | Social Worker | 786 Mountain Blvd., Suite 102, Watchung, NJ 07069 | 2007-05-03 |
| Find all providers in zip 07069 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508172255 | Deborah Ann Zotte | Nurse Practitioner | 10 Shawnee Dr Ste 3, Watchung, NJ 07069-5803 | 2010-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| 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.