Individual provider Active NPI

Diana John, APN

  • Adult Health Nurse Practitioner
  • Parsippany, NJ
National Provider Identifier
1316328008
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00432000 Issued in NJ
Practice address
200 Reynolds Ave
Parsippany, NJ 07054-3326
Phone
(855) 611-8783
NPI assigned
Jun 18, 2015
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00432000 NJ Primary

Addresses

Primary practice location

200 Reynolds Ave
Parsippany, NJ 07054-3326

Mailing address

123 Lincoln PL
Waldwick, NJ 07463-2128

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150824001053 NJ Practitioner - Nurse Practitioner 4486969268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiatry Consultants of NJ LLCGroup PAC ID 3375914419, 20 clinicians
The Back Pain Center LLCGroup PAC ID 7214917681, 6 clinicians

Practice addresses (Care Compare)

330 Franklin Tpke
Ridgewood, NJ 07450-1932
Phone (201) 447-1900

83 Franklin Tpke
Waldwick, NJ 07463-1820
Phone (201) 445-1079

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Back Pain Center, LLC Adult Health CurrentSince Sep 8, 2024 Accepting new patients
Valley Physician Services PC CurrentSince Aug 1, 2016 Accepting new patients
Physiatry Consultants of NJ LLC CurrentSince Mar 1, 2023 Accepting new patients
Premier Medical of NJ PastSince Sep 8, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

600 Lincoln Park E
Cranford, NJ 07016
Phone (908) 276-7100

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

336 Prospect Ave
Hackensack, NJ 07601
Phone (201) 678-1800

301 Godwin Ave
Midland Park, NJ 07432
Phone (201) 444-4526

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

200 Reynolds Ave
Parsippany, NJ 07054
Phone (973) 887-8080

390 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-0200

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

330 Franklin Tpke
Ridgewood, NJ 07450
Phone (201) 447-1900

140 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 447-3603

83 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 444-1079

Interoperability endpoints

  • Direct secure messaging: diana.john.4@5622.direct.athenahealth.com

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1316328008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LINCOLN PL",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074632128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 REYNOLDS AVE",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543326",
            "telephone_number": "855-611-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "DIANA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00432000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.