Individual provider Active NPI

Ariane Monique Chua Dequina, MSN, RN, NP-C, CMSRN

  • Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1003417288
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01050800 Issued in NJ
Practice address
340 Airis Drive
Newark, NJ 07114
Phone
(973) 877-0991
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 671486 NY
Registered Nurse 163W00000X 26NR16919200 NJ
Nurse Practitioner 363L00000X 26NJ01050800 NJ Primary

Addresses

Primary practice location

340 Airis Drive
Newark, NJ 07114

Mailing address

340 Airis Drive
Newark, NJ 07114
Phone (973) 877-0991

Other names 1

  • Ms. Ariane Monique Domingo Chua Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR16919200NJMDRegistered Nurse
671486NYMDRegistered Nurse
26NJ01050800NJMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: arianemonique.dequina@3226.securemail.prognocis.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1003417288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 AIRIS DRIVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07114",
            "telephone_number": "973-877-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 AIRIS DRIVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07114",
            "telephone_number": "973-877-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEQUINA",
        "first_name": "ARIANE MONIQUE",
        "middle_name": "CHUA",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, NP-C, CMSRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "671486",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16919200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01050800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIANE MONIQUE",
            "last_name": "CHUA",
            "middle_name": "DOMINGO",
            "prefix": "MS.",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.