Diane Carbone, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

SI002965 Issued in NJ

Practice address

3429 Shoreline Dr
Allenwood, NJ 08720

Phone

(732) 233-5484

Fax

(732) 292-2814

NPI assigned

Oct 14, 2013

Last updated

Aug 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1295163046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "address_2": "3429 SHORELINE DRIVE",
            "city": "ALLENWOOD",
            "state": "NJ",
            "postal_code": "08720",
            "telephone_number": "732-233-5484",
            "fax_number": "732-292-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 SHORELINE DR",
            "city": "ALLENWOOD",
            "state": "NJ",
            "postal_code": "08720",
            "telephone_number": "732-233-5484",
            "fax_number": "732-292-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "SI002965",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI002965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janesse Banom, OTR/L
• Patricia Baszczuk, PH.D.
• Kyle Bonner
• Kirsten Karen Cianci, VMD
• Coastal Homecare Physicians, LLC
• Minal Anil Goswami
• Connor Kennedy, PT, DPT
• Megan Steinwagner LCSW LLC

• Clinical Neuropsychologist in Allenwood, NJ
• Providers in Allenwood, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.

Verify at the official NPI Registry.