Individual provider Active NPI

Rieffe Dia, DO

  • Pediatrics Physician
  • Camden, NJ
National Provider Identifier
1114506946
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB12391700 Issued in NJ
Practice address
3 Cooper PLZ RM 200
Camden, NJ 08103-1438
Phone
(856) 342-2001
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB12391700 NJ Primary
Pediatrics Physician 208000000X OT021013 PA

Addresses

Primary practice location

3 Cooper PLZ RM 200
Camden, NJ 08103-1438

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

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
I20251021004155 NJ Practitioner - Pediatric Medicine 8527556646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Federal St
Suite 200
Camden, NJ 08103-1005

331 Newman Springs Rd
BLDG 2 Suite 220
Red Bank, NJ 07701-5688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB12391700NJMDPediatrics Physician
OT021013PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Pediatrics Pediatrics CurrentSince Sep 25, 2025 Accepting new patients
Cooper Pediatric Specialists, PC Pediatrics Past Accepting new patients

Locations

1900 Mount Holly Rd
Ste 1B
Burlington, NJ 08016
Phone (609) 239-0306

1900 Mount Holly Rd
Burlington, NJ 08016
Phone (609) 387-0325

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

3 Cooper Plz
Rm 520
Camden, NJ 08103
Phone (856) 342-2298

Interoperability endpoints

  • Direct secure messaging: rdia191260@direct.cooperhealth.edu

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1114506946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIA",
        "first_name": "RIEFFE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB12391700",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT021013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.