Individual provider Active NPI

Diana Rose Larrea, D.O.

  • Family Medicine Physician
  • Stratford, NJ
National Provider Identifier
1225460454
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09743200 Issued in NJ
Practice address
42 E Laurel Rd
Suite 2100a
Stratford, NJ 08084-1354
Phone
(856) 566-6477
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MB09743200 NJ Primary

Addresses

Primary practice location

42 E Laurel Rd
Suite 2100a
Stratford, NJ 08084-1354

Mailing address

116 Wright Ave
Apt. L97
Stratford, NJ 08084-1100
Phone (740) 856-2214

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
I20160906000096 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Pediatric Medicine 3072809805 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Jersey Urgent CareGroup PAC ID 7618114323, 78 clinicians
Cov Clinic NJ LLCGroup PAC ID 7810303773, 8 clinicians

Practice addresses (Care Compare)

142 Hwy 35
Suite 130
Eatontown, NJ 07724-1864
Phone (732) 515-5111

67 Apple St
Tinton Falls, NJ 07724-2636
Phone (732) 314-7410

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Call to Care LLC Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Newark Vein and Vascular Center LLC Single Specialty CurrentSince Jun 1, 2020 Accepting new patients
Cov Clinic NJ LLC Single Specialty CurrentSince May 25, 2022 Accepting new patients
Roseville Medical Society LLC Single Specialty CurrentSince Apr 17, 2020 Accepting new patients
Central Jersey Urgent Care Single Specialty CurrentSince Aug 6, 2022 Accepting new patients
Salem Internal Medicine P.C. Single Specialty CurrentSince Apr 22, 2024 Accepting new patients
Central Jersey Urgent Care CurrentSince Aug 6, 2022 Accepting new patients
Azz Medical Associates PC Single Specialty CurrentSince Apr 22, 2024 Accepting new patients
North Ward Medical Arts LLC Single Specialty CurrentSince Mar 7, 2020 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP Single Specialty CurrentSince Dec 1, 2020 Accepting new patients
Senior Healthcare Outreach Program Single Specialty CurrentSince Aug 1, 2016 Accepting new patients
Browne Medical, LLC Single Specialty CurrentSince Apr 1, 2020 Accepting new patients
Salerno Medical Associates, LLC Single Specialty CurrentSince Aug 1, 2016 Accepting new patients
The Radiology Group of New Jersey, LLC Single Specialty PastSince Apr 1, 2020 Accepting new patients

Locations

1140 State Route 34
Aberdeen, NJ 07747
Phone (732) 583-5100

480 Pompton Ave
Ste 6
Cedar Grove, NJ 07009
Phone (973) 239-2300

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

142 Highway 35
Ste 206
Eatontown, NJ 07724
Phone (848) 258-0637

142 Highway 35
Ste 130
Eatontown, NJ 07724
Phone (732) 515-5111

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

316 Merion Ave
Penns Grove, NJ 08069
Phone (609) 299-0345

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

67 Apple St
Tinton Falls, NJ 07724
Phone (732) 314-7410

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4
  • Direct secure messaging: diana.larrea@116499954925572.direct.elationemr.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1225460454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WRIGHT AVE",
            "address_2": "APT. L97",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841100",
            "telephone_number": "740-856-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "SUITE 2100A",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARREA",
        "first_name": "DIANA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09743200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.