Individual provider Active NPI

Alicia M Dias, APRN

  • Family Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1255815247
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15077700 Issued in NJ
Practice address
2440 Hamburg Tpke
Wayne, NJ 07470-6226
Phone
(973) 839-3400
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7832 CT
Family Nurse Practitioner 363LF0000X 26NJ15077700 NJ Primary

Addresses

Primary practice location

2440 Hamburg Tpke
Wayne, NJ 07470-6226

Mailing address

2440 Hamburg Tpke
Wayne, NJ 07470-6226
Phone (973) 839-3400

Other identifiers 1

IdentifierTypeStateIssuer
004235900MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181205002053 CT Practitioner - Nurse Practitioner 8729322524 Reassigns benefits to 2 organizations
I20240820002961 NJ Practitioner - Nurse Practitioner 8729322524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

1825 John F Kennedy Blvd
Suite 1
Jersey City, NJ 07305-2106
Phone (201) 942-4545

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
77.71
Improvement activities
40
Cost
82.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15077700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Nov 19, 2018 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Aug 1, 2024 Accepting new patients
Rwjbh Primary Care Services CurrentSince May 15, 2025 Accepting new patients
Cornell Scott Hill Health Corporation Past Accepting new patients
Barnabas Health Medical Group PC PastSince May 15, 2025 Accepting new patients

Locations

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

400 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3174

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

300 Boston Post Rd
West Haven, CT 06516
Phone (203) 931-6025

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

59 Newark St
Hoboken, NJ 07030
Phone (201) 656-4800

1825 John F Kennedy Blvd
#1
Jersey City, NJ 07305
Phone (201) 942-4545

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

312 Belleville Tpke
Ste 1B
North Arlington, NJ 07031
Phone (201) 997-6776

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

2440 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 616-4813

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1255815247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706226",
            "telephone_number": "973-839-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706226",
            "telephone_number": "973-839-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAS",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7832",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15077700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235900",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.