Active NPI
Diana Marie Monteleon, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Elmwood Park, NJ
National Provider Identifier
1063042406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L30090
- Practice address
- 75 Miller Avenue
Elmwood Park, NJ 07407 - Phone
- (201) 694-9841
- NPI assigned
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | 26NR07488300 | NJ | |
| Maternal Newborn Registered Nurse | 163WM0102X | 427573 | NY | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | L30090 | NJ | Primary |
Addresses
Primary practice location
75 Miller Avenue
Elmwood Park, NJ 07407
Mailing address
75 Miller Avenue
Elmwood Park, NJ 07407
Phone (201) 694-9841
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L30090 | NJ | MD | Lactation Consultant (Registered Nurse) |
| 26NR07488300 | NJ | MD | Maternal Newborn Registered Nurse |
| 427573 | NY | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1063042406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 MILLER AVENUE",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "07407",
"telephone_number": "201-694-9841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MILLER AVENUE",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "07407",
"telephone_number": "201-694-9841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTELEON",
"first_name": "DIANA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "NJ",
"license": "26NR07488300",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "NY",
"license": "427573",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NJ",
"license": "L30090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmwood Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.