Individual provider Active NPI

Diana S Leu, MD

  • Dermatology Physician
  • Wayne, NJ
National Provider Identifier
1447263744
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA079226 Issued in NJ
Practice address
330 Ratzer Rd Ste D17
Wayne, NJ 07470-7704
Phone
(973) 925-7077
Fax
(973) 925-7078
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA079226 NJ Primary

Addresses

Primary practice location

330 Ratzer Rd Ste D17
Wayne, NJ 07470-7704

Mailing address

330 Ratzer Rd Ste D17
Wayne, NJ 07470-7704
Phone (973) 925-7077

Other names 1

  • Diana S Laky Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000303 NJ Practitioner - Dermatology 1658458880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Boston University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Ratzer Rd
Suite D17
Wayne, NJ 07470-7704
Phone (973) 925-7077

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions533
Removal or shaving of skin growth1-10
Skin biopsy183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA079226NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diana S. Leu, MD, LLC CurrentSince Dec 26, 2011 Accepting new patients
Paige Applebaum Farkas MD PA Dermatology Past Accepting new patients
Advanced Dermatology of New Jersey PC Past Accepting new patients

Locations

330 Ratzer Rd
Ste D17
Wayne, NJ 07470
Phone (973) 832-7487

601 Hamburg Tpke
Ste 211
Wayne, NJ 07470
Phone (973) 321-0010

Organizations & group practices 3

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1447263744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RATZER RD STE D17",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707704",
            "telephone_number": "973-925-7077",
            "fax_number": "973-925-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RATZER RD STE D17",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707704",
            "telephone_number": "973-925-7077",
            "fax_number": "973-925-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEU",
        "first_name": "DIANA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA079226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "LAKY",
            "middle_name": "S",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.