Active NPI
Diabeticwatchers USA LLC
- Public Health or Welfare Agency
- Wayne, NJ
National Provider Identifier
1245863281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- DIABETICWATCHERS USA LLC
- Practice address
- 30 Galesi Dr Ste 104B
Wayne, NJ 07470-4840 - Phone
- (201) 577-8994
- NPI assigned
- Feb 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Oermila Corrao
- Title
- Program Director
- Phone
- (201) 577-8994
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Corporate Health Clinic/Center | 261QC1800X | |||
| State or Local Public Health Clinic/Center | 261QP0905X | |||
| Health Maintenance Organization | 302R00000X |
Addresses
Primary practice location
30 Galesi Dr Ste 104B
Wayne, NJ 07470-4840
Mailing address
30 Galesi Dr Ste 104B
Wayne, NJ 07470-4840
Phone (201) 577-8994
National Provider Directory
National Provider Directory- Tax ID family
- Diabeticwatchers USA LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba DiabeticWatchers NYC
- Federal Public Health Clinic/Center
- New York, NY
- NPI 1295369023
Locations
30 Galesi Dr
Ste 104B
Wayne, NJ 07470
Phone (201) 577-8994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1245863281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 GALESI DR STE 104B",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704840",
"telephone_number": "201-577-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 GALESI DR STE 104B",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704840",
"telephone_number": "201-577-8994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETICWATCHERS USA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "CORRAO",
"authorized_official_first_name": "OERMILA",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "201-577-8994",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.