Diane Decarolis, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00585700 Issued in NJ

Practice address

605 Grove St
Unit B1
Clifton, NJ 07013-3849

Phone

(917) 751-8700

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northwest Essex Community Healthcare Network, Inc.Group PAC ID 8426044603, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Recovery & Wellness Center, LLC.

  • Psychiatric/Mental Health Nurse Practitioner
  • Montclair, NJ
  • NPI 1003473646
  Medicare reassignment NPD Authorized official
• Northwest Essex Community Healthcare Network, Inc.

  • Case Management Agency
  • Belleville, NJ
  • NPI 1043262199
  Medicare reassignment Care Compare group
• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  Medicare reassignment NPD
• Prime Healthcare Services - St. Mary'S Passaic, LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1730508250
  Medicare reassignment NPD
• Prime Healthcare Services - St. Mary'S Passaic LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1285884890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GROVE ST",
            "address_2": "UNIT B1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133849",
            "telephone_number": "917-751-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GROVE ST",
            "address_2": "UNIT B1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133849",
            "telephone_number": "917-751-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAROLIS",
        "first_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00585700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shadae Dean
• David A Debell
• Jason Deblinger, D.M.D.
• Ronald I. Deblinger, D.M.D.
• Alena Debrosse, NPP
• Evan Deckelbaum, DPT
• Deep Venture Cap
• Michele Marie Degennaro
• Frank C Degiacomo
• Nicholas Degregorio, LMT

• Psychiatric/Mental Health Nurse Practitioner in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.