Active NPI
Diana I Protsiv, PHARMD
- Pharmacist
- Ewing, NJ
National Provider Identifier
1588441307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04322200
- Practice address
- 1618 N Olden Ave
Ewing, NJ 08638-3206 - Phone
- (609) 599-3830
- NPI assigned
- Sep 14, 2023
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04322200 | NJ | Primary |
Addresses
Primary practice location
1618 N Olden Ave
Ewing, NJ 08638-3206
Mailing address
12 Chadwick CT
Robbinsville, NJ 08691-3042
Phone (609) 789-3320
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04322200 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1588441307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CHADWICK CT",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "086913042",
"telephone_number": "609-789-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 N OLDEN AVE",
"city": "EWING",
"state": "NJ",
"postal_code": "086383206",
"telephone_number": "609-599-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROTSIV",
"first_name": "DIANA",
"middle_name": "I",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04322200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ewing, NJ
- Colleen Lynn Price, MSN, RN, APN
- Prime Med Medical Services PC
- Princeton Child Development Institute
- Princeton Healthcare Affiliated Physicians PC (Ewing Medical Associates - Princeton Medicine)
- Ashley Lauren Prokop, LAC, NCC, ATR-P
- Randi Protter, MD
- Providence Care, LLC (Elite Care)
- Natalie J Purnell, LCSW
- R a S Health Care
- R a S Health Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.