Individual provider Active NPI

Dianne Theresa Thomas Kekovic, APN

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1326808437
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15036100 Issued in NJ
Practice address
497 Mount Prospect Ave
Newark, NJ 07104-2903
Phone
(973) 980-1868
NPI assigned
Mar 19, 2024
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15036100 NJ Primary

Addresses

Primary practice location

497 Mount Prospect Ave
Newark, NJ 07104-2903

Mailing address

327 Edgewood Rd
Linden, NJ 07036-5319
Phone (973) 980-1868

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
I20240717000340 NJ Practitioner - Nurse Practitioner 7810432697 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians

Practice addresses (Care Compare)

155 40TH St
Irvington, NJ 07111-1184
Phone (973) 371-7878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15036100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Sep 1, 2025 Accepting new patients
Vitalpoint Healthpc CurrentSince Aug 9, 2025 Accepting new patients
Medical Director Services PC CurrentSince Jun 1, 2024 Accepting new patients
Py Medical Services of NJ LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100

155 40th St
Irvington, NJ 07111
Phone (201) 422-2556

104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804

170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540

497 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 482-2351

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

831 Bedford Ave
Brooklyn, NY 11205

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1326808437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 EDGEWOOD RD",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365319",
            "telephone_number": "973-980-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042903",
            "telephone_number": "973-980-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS KEKOVIC",
        "first_name": "DIANNE",
        "middle_name": "THERESA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15036100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.