Diane Brock Stewart, APN-C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ00108900 Issued in NJ

Practice address

14 Foxfire LN
Clinton, NJ 08809-2012

Phone

(908) 713-0420

Fax

(908) 713-9752

NPI assigned

Jan 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pediatric Specialty Group at the Ambulatory Care Center

  • Pediatric Pulmonology Physician
  • Livingston, NJ
  • NPI 1679521504
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1376720003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FOXFIRE LN",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088092012",
            "telephone_number": "908-713-0420",
            "fax_number": "908-713-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FOXFIRE LN",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088092012",
            "telephone_number": "908-713-0420",
            "fax_number": "908-713-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DIANE",
        "middle_name": "BROCK",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00108900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wayne Starcher, OTR
• State of New Jersey Omb Centralized Payroll
• Trudy Lynn Steckel, LPN
• Melissa Stecklow, PT, DPT
• Kimberley Stentz, RPH
• Scott R Strauss, D.O.
• Stress Management Counseling Center, LLC
• Susanne K Struebing
• Christine Sulouff
• Tejomaya LLC

• Pediatric Nurse Practitioner in Clinton, NJ
• Providers in Clinton, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.