Active NPI
Diep N Tran
- Nutrition Support Pharmacist
- Newark, NJ
National Provider Identifier
1154715035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- 28RI02168400
- Practice address
- 465 Mount Prospect Ave
Newark, NJ 07104-2907 - Phone
- (973) 483-3640
- NPI assigned
- Mar 27, 2015
- 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 |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | 28RI02168400 | NJ | Primary |
Addresses
Primary practice location
465 Mount Prospect Ave
Newark, NJ 07104-2907
Mailing address
2262 Newark Ave
Scotch Plains, NJ 07076-4673
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02168400 | NJ | MD | Nutrition Support Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1154715035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2262 NEWARK AVE",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070764673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 MOUNT PROSPECT AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071042907",
"telephone_number": "973-483-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DIEP",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "NJ",
"license": "28RI02168400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.