Individual provider Active NPI

Dikshya Koirala

  • Family Nurse Practitioner
  • Montclair, NJ
National Provider Identifier
1356063309
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01368000 Issued in NJ
Practice address
28 Valley Rd # 3148
Montclair, NJ 07042-2709
Phone
(973) 559-4600
Fax
(855) 998-4358
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 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 26NJ01368000 NJ Primary

Addresses

Primary practice location

28 Valley Rd # 3148
Montclair, NJ 07042-2709

Mailing address

1301 Main St
Asbury Park, NJ 07712-5359

Other practice location 1

1301 Main St
Asbury Park, NJ 07712-5359
Phone (732) 774-6333

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
I20221007001962 NJ Practitioner - Nurse Practitioner 6204212640 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01368000NJMDFamily Nurse Practitioner
26NJ01369800NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Sep 1, 2022 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I Current Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince May 1, 2025 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Sep 1, 2022 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince May 1, 2025 Accepting new patients
Visiting Nurse Association of Central Jersey, Community Health Center, Past Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

1 Riverfront Plz
Ste 300
Newark, NJ 07102
Phone (201) 273-7047

188 E Bergen Pl
Ste 302
Red Bank, NJ 07701
Phone (732) 219-6620

1268 Route 37 W
Ste 1
Toms River, NJ 08755
Phone (732) 602-4480

Interoperability endpoints

  • Direct secure messaging: dikshya.koirala.1@32913.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1356063309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 VALLEY RD # 3148",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422709",
            "telephone_number": "973-559-4600",
            "fax_number": "855-998-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Main St",
            "address_purpose": "LOCATION",
            "city": "Asbury Park",
            "state": "NJ",
            "postal_code": "077125359",
            "country_code": "US",
            "telephone_number": "732-774-6333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOIRALA",
        "first_name": "DIKSHYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01368000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.