Organization Active NPI

Diabeticwatchers USA LLC

  • Public Health or Welfare Agency
  • Wayne, NJ
National Provider Identifier
1245863281
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Feb 18, 2020

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.