Diane Guadara, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD2455 Issued in NJ

Practice address

835 Main St
Hackensack, NJ 07601

Phone

(201) 488-8599

Fax

(201) 488-4953

NPI assigned

Mar 29, 2006

Last updated

Jul 30, 2010By the provider in NPPES

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hackensack Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Hackensack, NJ
  • NPI 1871794982
  Medicare reassignment
• A Center for Foot and Ankle Surgery, P.a.

  • Foot & Ankle Surgery Podiatrist
  • North Bergen, NJ
  • NPI 1396926119
  NPD (past) Authorized official
• A Center for Foot and Ankle Surgery PA

  dba The Center for Special Surgery of Hawthorne

  • Ambulatory Surgical Clinic/Center
  • Hawthorne, NJ
  • NPI 1336154152
  NPD (past)
• Joanne Guadara & Maryanne Guadara Partners

  dba Bergen Chiropractic Arts

  • Chiropractor
  • Hackensack, NJ
  • NPI 1629384128
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1568423754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-488-8599",
            "fax_number": "201-488-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-488-8599",
            "fax_number": "201-488-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADARA",
        "first_name": "DIANE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD2455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7695101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yakov Groysman, DPM
• Jason Gruener, MD
• Gregory Anthony Gruerio, PA-C
• Noreen Grzelak Volez, M.ED SPE ED
• Mayra Guadalupe, APN GERONTOLOGY
• Joanne Guadara, D.C.
• John Guadara, DPM
• Diane Guarascio, RN
• Guardian Eldercare PC
• Sara Elaine Guarnieri, PA-C

• Podiatrist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.