Johannelda Jamora Diaz, MSN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00790600 Issued in NJ

Practice address

1440 Pennington Rd Ste 1
Ewing, NJ 08618-2669

Phone

(609) 890-1050

NPI assigned

Feb 7, 2018

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

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uhs of Hampton IncGroup PAC ID 7911992912, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Uhs of Hampton, Inc

  • Psychiatry Physician
  • Westampton, NJ
  • NPI 1285822858
  Medicare reassignment Care Compare group NPD
• Healthfirst Medical and Aesthetics LLC

  • Family Nurse Practitioner
  • Bordentown, NJ
  • NPI 1568119824
  NPD Authorized official
• Azz Medical Associates PC

  • Internal Medicine Physician
  • Ewing, NJ
  • NPI 1699704809
  Medicare reassignment
• Uhs of Hampton Inc

  • Family Medicine Physician
  • Westampton, NJ
  • NPI 1851843049
  NPD
• Uhs of Hampton Inc

  • Psychiatric Hospital
  • Westampton, NJ
  • NPI 1457324196
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1457850141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ARBOR LN",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054808",
            "telephone_number": "609-491-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 PENNINGTON RD STE 1",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182669",
            "telephone_number": "609-890-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOHANNELDA",
        "middle_name": "JAMORA",
        "credential": "MSN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00790600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquana Davis
• Jennifer Degregory
• Lorena Delapena, OTR
• Delaware Valley Family Eye Care PC
• Delta Community Supports, Inc.
• Carolyn Dickson
• Diana Digiacomo
• Direct Meds of Trenton LLC
• Discovery ABA NJ LLC
• J Scott Doolittle

• Family Nurse Practitioner in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.