Diane Goldblum-Graff, MSN, APN, BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

NJ00113400 Issued in NJ

Practice address

222 New Rd Ste 405
Linwood, NJ 08221-1283

Phone

(609) 412-1717

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608
  Medicare reassignment NPD
• Legacy Treatment Services Inc

  • Community/Behavioral Health Agency
  • Hainesport, NJ
  • NPI 1730594656
  Medicare reassignment NPD
• Atlanticare Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Hammonton, NJ
  • NPI 1093873556
  Medicare reassignment
• Atlanticare Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Atlantic City, NJ
  • NPI 1073032868
  NPD
• Atlanticare Physician Group

  dba AtlantiCare Urgent Care

  • Clinical Social Worker
  • Egg Harbor Township, NJ
  • NPI 1881618494
  NPD
• Atlanticare Physician Group, PA

  dba AtlantiCare Urgent Care

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Legacy Treatment Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pennington, NJ
  • NPI 1770362253
  NPD
• Legacy Treatment Services, Inc

  • Community/Behavioral Health Agency
  • Mays Landing, NJ
  • NPI 1578188090
  NPD
• Comprehensive Geriatric Care LLC

  • Clinical Social Worker
  • Lakewood, NJ
  • NPI 1821036302
  NPD (past)
• Family Service Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Egg Harbor TWP, NJ
  • NPI 1891969283
  NPD (past)
• Family Service Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galloway, NJ
  • NPI 1912958513
  NPD (past)
• Advanced Behavioral Health

  • Psychologist
  • Philadelphia, PA
  • NPI 1952570558
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1154449734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 405",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211283",
            "telephone_number": "609-412-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 405",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211283",
            "telephone_number": "609-412-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBLUM-GRAFF",
        "first_name": "DIANE",
        "credential": "MSN, APN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "NJ00113400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Lynn Genova, APN, C
• Gina M Peccia, Ma, LPC LLC
• Kim P Glassey, PTA
• God and Fresh, LLC (Fresh Start Chiropractic)
• Laura M Goellner, OT
• Paige Golden, DPT
• Jessica Ellen Goldstein, OT
• Ronald C Gove, M.D.
• Srisai Gowda, M.D.
• Lauren Grassi, LCSW

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.