Individual provider Active NPI

Dianne Walker, M.D.

  • Internal Medicine Physician
  • Belleville, NJ
National Provider Identifier
1083671234
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04864500 Issued in NJ
Practice address
303 Belmont Ave
Belleville, NJ 07109
Phone
(973) 751-4818
Fax
(973) 751-4886
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04864500 NJ Primary

Addresses

Primary practice location

303 Belmont Ave
Belleville, NJ 07109

Mailing address

303 Belmont Ave
Belleville, NJ 07109-1103
Phone (973) 751-4818

Other identifiers 1

IdentifierTypeStateIssuer
1696009MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000060 NJ Practitioner - Internal Medicine 1456375393 Reassigns benefits to 1 organization
Practice locations: Belleville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

303 Belmont Ave
Belleville, NJ 07109-2286
Phone (973) 751-4818

Hospital & facility affiliations

  • Patient Care Home health agency, West Orange, NJ, CCN 317060
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04864500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dianne W. Beresford, MD Internal Medicine Current Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Aug 2, 2021 Accepting new patients

Locations

303 Belmont Ave
Belleville, NJ 07109
Phone (973) 751-4818

36 Newark Ave
Belleville, NJ 07109
Phone (973) 751-2251

36 Newark Ave
Fl 3
Belleville, NJ 07109

50 Washington Ave
Belleville, NJ 07109
Phone (201) 464-5386

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1083671234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BELMONT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091103",
            "telephone_number": "973-751-4818",
            "fax_number": "973-751-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BELMONT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-751-4818",
            "fax_number": "973-751-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04864500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.