Active NPI
Diana Reid, APN.C
- Nurse Practitioner
- Toms River, NJ
National Provider Identifier
1114907672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NN98623
- Practice address
- 1130 Hooper Ave
Toms River, NJ 08753-8345 - Phone
- (732) 244-6380
- Fax
- (732) 244-6420
- NPI assigned
- Jan 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NN98623 | NJ | Primary |
Addresses
Primary practice location
1130 Hooper Ave
Toms River, NJ 08753-8345
Mailing address
318 Montana Dr
Brick, NJ 08723-5969
Phone (732) 262-1431
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NN98623 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Cardiovascular Consultants, PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/24659/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Brick, NJ
- NPI 1669452199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1114907672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 MONTANA DR",
"city": "BRICK",
"state": "NJ",
"postal_code": "087235969",
"telephone_number": "732-262-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 HOOPER AVE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087538345",
"telephone_number": "732-244-6380",
"fax_number": "732-244-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "DIANA",
"credential": "APN.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "NN98623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.