Individual provider Active NPI

Diwata V Somera, APRN-BC

  • Cardiovascular Disease Physician
  • Somerset, NJ
National Provider Identifier
1043407083
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
26NJ00127000 Issued in NJ
Practice address
1543 Route 27
Suite 14
Somerset, NJ 08873
Phone
(732) 846-7000
Fax
(734) 846-7001
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 26NJ00127000 NJ Primary

Addresses

Primary practice location

1543 Route 27
Suite 14
Somerset, NJ 08873

Mailing address

1308 Timber Oaks Rd
Edison, NJ 08820-1548
Phone (732) 754-1868

Other names 1

  • Diwata P Villanueva 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00127000NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Vascular Center of New Brunswick LLC Single Specialty Past Accepting new patients
Heart & Vascular Center of New Brunswick LLC Single Specialty Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1043407083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 TIMBER OAKS RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201548",
            "telephone_number": "732-754-1868",
            "fax_number": "732-846-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 ROUTE 27",
            "address_2": "SUITE 14",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-846-7000",
            "fax_number": "734-846-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERA",
        "first_name": "DIWATA",
        "middle_name": "V",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "26NJ00127000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIWATA",
            "last_name": "VILLANUEVA",
            "middle_name": "P",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.