Individual provider Active NPI

Diana I Pekisheva, PSYCH NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Totowa, NJ
National Provider Identifier
1386410710
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14938800 Issued in NJ
Practice address
999 Riverview Dr Ste 218
Totowa, NJ 07512-1165
Phone
(201) 907-1237
Fax
(201) 907-1570
NPI assigned
Nov 27, 2023
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ14938800 NJ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NR16035900 NJ

Addresses

Primary practice location

999 Riverview Dr Ste 218
Totowa, NJ 07512-1165

Mailing address

999 Riverview Dr
Totowa, NJ 07512-1164
Phone (201) 907-1237

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
I20240524003113 NJ Practitioner - Nurse Practitioner 7315380045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenafly Psychiatric Associates LLCGroup PAC ID 1759345614, 10 clinicians

Practice addresses (Care Compare)

2 Dean Dr
Tenafly, NJ 07670-2765
Phone (201) 568-8288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14938800NJMDPsychiatric/Mental Health Nurse Practitioner
26NR16035900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenafly Psychiatric Associates, L.L.C. CurrentSince May 17, 2024 Accepting new patients

Locations

2 Dean Dr
Fl 1
Tenafly, NJ 07670
Phone (201) 568-8288

Organizations & group practices 1

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1386410710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 RIVERVIEW DR",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121164",
            "telephone_number": "201-907-1237",
            "fax_number": "201-907-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 RIVERVIEW DR STE 218",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121165",
            "telephone_number": "201-907-1237",
            "fax_number": "201-907-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKISHEVA",
        "first_name": "DIANA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "PSYCH NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14938800",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR16035900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.