Individual provider Active NPI

Diane Stoller, R.N.

  • Case Management Registered Nurse
  • Rochelle Park, NJ
National Provider Identifier
1285946012
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
61538 Issued in NJ
Practice address
336 W Passaic St
2ND FL
Rochelle Park, NJ 07662-3027
Phone
(201) 845-7030
Fax
(201) 845-0899
NPI assigned
Jul 9, 2010
Last updated
Jul 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 61538 NJ Primary

Addresses

Primary practice location

336 W Passaic St
2ND FL
Rochelle Park, NJ 07662-3027

Mailing address

336 W Passaic St
2ND FL
Rochelle Park, NJ 07662-3027
Phone (201) 845-7030

Other identifiers 1

IdentifierTypeStateIssuer
61538OtherNJSTATE OF NJ OFFICE OF THE ATTY GENERAL BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
61538NJMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Counseling and Consulting, Inc. Past Accepting new patients
Generations Counseling & Care Management LLC PastSince Aug 17, 2006 Accepting new patients

Organizations & group practices 2

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1285946012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W PASSAIC ST",
            "address_2": "2ND FL",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623027",
            "telephone_number": "201-845-7030",
            "fax_number": "201-845-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W PASSAIC ST",
            "address_2": "2ND FL",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623027",
            "telephone_number": "201-845-7030",
            "fax_number": "201-845-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NJ",
            "license": "61538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NJ OFFICE OF THE ATTY GENERAL BOARD OF NURSING",
            "identifier": "61538",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.