Active NPI
Diane Alexis Daw, P.A.
- Physician Assistant
- Westampton, NJ
National Provider Identifier
1205010014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00027200
- Practice address
- 650 Rancocas Rd
Westampton, NJ 08060-5613 - Phone
- (609) 267-7000
- Fax
- (609) 518-2190
- NPI assigned
- Dec 28, 2007
- Last updated
- Dec 28, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00027200 | NJ | Primary |
Addresses
Primary practice location
650 Rancocas Rd
Westampton, NJ 08060-5613
Mailing address
650 Rancocas Rd
Westampton, NJ 08060-5613
Phone (609) 267-7000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 Rancocas Rd
Westampton, NJ 08060-5613
Phone (609) 267-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00027200 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Hampton Inc | Current | Accepting new patients |
Locations
1001 Kings Hwy S
Cherry Hill, NJ 08034
Phone (609) 518-2253
650 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-7000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1205010014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 RANCOCAS RD",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080605613",
"telephone_number": "609-267-7000",
"fax_number": "609-518-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 RANCOCAS RD",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080605613",
"telephone_number": "609-267-7000",
"fax_number": "609-518-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAW",
"first_name": "DIANE",
"middle_name": "ALEXIS",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00027200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.