Individual provider Active NPI

Dianne White, FNP

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1548490469
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NR07393100 Issued in NJ
Practice address
65 Bergen St
Newark, NJ 07107-3001
Phone
(973) 590-8935
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NR07393100 NJ Primary

Addresses

Primary practice location

65 Bergen St
Newark, NJ 07107-3001

Mailing address

10 Rose Run
Lambertville, NJ 08530-3522
Phone (609) 773-0050

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
I20180130002018 NJ Practitioner - Nurse Practitioner 9638439250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mind Your MindGroup PAC ID 6002242690, 22 clinicians

Practice addresses (Care Compare)

2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone (609) 222-4922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR07393100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health Current Accepting new patients
Rutgers Health - Behavioral Health CurrentSince Jan 16, 2018 Accepting new patients
Mind Your Mind CurrentSince Jul 10, 2024 Accepting new patients

Locations

57 Haddonfield Rd
Ste 120
Cherry Hill, NJ 08002
Phone (856) 566-6200

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

671 Hoes Ln W
Rm B201
Piscataway, NJ 08854

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1548490469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROSE RUN",
            "city": "LAMBERTVILLE",
            "state": "NJ",
            "postal_code": "085303522",
            "telephone_number": "609-773-0050"
        },
        {
            "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": "973-590-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR07393100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.