Active NPI
Elaine K Diegmann, CNM
- Advanced Practice Midwife
- Newark, NJ
National Provider Identifier
1407817166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25M00002001
- Practice address
- 65 Bergen St
Newark, NJ 07107-3001 - Phone
- (973) 972-4298
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25M00002001 | NJ | Primary |
Addresses
Primary practice location
65 Bergen St
Newark, NJ 07107-3001
Mailing address
95 Old Short Hills Rd
West Orange, NJ 07052-1008
Phone (973) 322-4390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124901 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25M00002001 | NJ | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1407817166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 OLD SHORT HILLS RD",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521008",
"telephone_number": "973-322-4390",
"fax_number": "973-324-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073001",
"telephone_number": "973-972-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEGMANN",
"first_name": "ELAINE",
"middle_name": "K",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25M00002001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.