Active NPI
Carolina Efren Diao, M.D.
- Psychiatry Physician
- Lawrenceville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA71883
- Practice address
- 3131 Princeton Pike Ste 109
Lawrenceville, NJ 08648-2201 - Phone
- (609) 633-1500
- NPI assigned
- Nov 6, 2006
- Last updated
- Jan 26, 2017
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA71883 | NJ | Primary |
Addresses
Primary practice location
3131 Princeton Pike Ste 109
Lawrenceville, NJ 08648-2201
Mailing address
180 Ewingville Rd
Ewing, NJ 08638-2425
Phone (609) 406-0181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053746C2D | Other | NJ | MEDICARE PROVIDER NUMBER |
| D1053746 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA71883 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Another Door Opens Recovery Center | Current | Accepting new patients | |
| Arc Mercer, Inc. | Current | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Past | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Past | Accepting new patients |
Locations
1230 Parkway Ave
Ste 105
Ewing, NJ 08628
Phone (609) 393-1219
180 Ewingville Rd
Ewing, NJ 08638
3131 Princeton Pike
Ste 109
Lawrenceville, NJ 08648
1542 Kuser Rd
Ste B7
Trenton, NJ 08619
Phone (609) 581-1400
700 S Clinton Ave
Trenton, NJ 08611
Phone (908) 370-8103
Organizations & group practices 4
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.
-
- Clinic/Center
- Hamilton, NJ
- NPI 1518262203
-
- Clinical Medical Laboratory
- Ewing, NJ
- NPI 1427695709
-
dba Greystone Park Psychiatric Hospital
- Psychiatric Hospital
- Morris Plains, NJ
- NPI 1336221878
-
dba Trenton Psychiatric Hospital
- Psychiatric Hospital
- Trenton, NJ
- NPI 1467552240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1275602344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 EWINGVILLE RD",
"city": "EWING",
"state": "NJ",
"postal_code": "086382425",
"telephone_number": "609-406-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 PRINCETON PIKE STE 109",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482201",
"telephone_number": "609-633-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAO",
"first_name": "CAROLINA",
"middle_name": "EFREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA71883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "053746C2D",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D1053746",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.