Individual provider Active NPI

Carolina Efren Diao, M.D.

  • Psychiatry Physician
  • Lawrenceville, NJ
National Provider Identifier
1275602344
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA71883 Issued in NJ
Practice address
3131 Princeton Pike Ste 109
Lawrenceville, NJ 08648-2201
Phone
(609) 633-1500
NPI assigned
Nov 6, 2006
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
053746C2DOtherNJMEDICARE PROVIDER NUMBER
D1053746MedicaidNJ

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
I20121214000383 NJ Practitioner - Psychiatry 1153573316 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA71883NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Another Door Opens Recovery Center CurrentSince Dec 1, 2019 Accepting new patients
Arc Mercer, Inc. CurrentSince Mar 18, 2017 Accepting new patients
State of New Jersey Omb Centralized Payroll PastSince Sep 7, 2012 Accepting new patients
State of New Jersey Omb Centralized Payroll PastSince Sep 7, 2012 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.

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

Verify at the official NPI Registry.