Diabetes Endcocrinology Metabolism Spec

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

207R00000X Issued in NJ

Legal business name

DIABETES ENDCOCRINOLOGY METABOLISM SPEC

Practice address

6 Brighton Rd
Clifton, NJ 07012-1647

Phone

(973) 471-2692

Fax

(973) 470-8188

NPI assigned

Mar 20, 2015

Organization subpart

Yes

Parent organization

DIABETES ENDCOCRINOLOGY METABOLISM SPECAs reported in NPPES

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

Authorized official

Name

Chris Donnelly

Title

Manager

Phone

(973) 471-2692

Specialties & licenses 1

Addresses

Part of

Diabetes Endo Metab Speci

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1619361383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIGHTON RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121647",
            "telephone_number": "973-471-2692",
            "fax_number": "973-470-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRIGHTON RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121647",
            "telephone_number": "973-471-2692",
            "fax_number": "973-470-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES ENDCOCRINOLOGY METABOLISM SPEC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIABETES ENDCOCRINOLOGY METABOLISM SPEC",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-471-2692"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marinus Devos
• Gurleen Kaur Dhillon, DDS
• Sumeet Dhindsa, MD
• Lori Dhuyvetter, CSW
• Cara Di Napoli, C-PNP, IBCLC, RLC
• Diagnostic Imaging Associates LLC
• Diagnostic Imaging of Clifton, P.a.
• Hala Diar Bakerli, MD
• Fares Diarbakerli, M.D.
• Julie Dietch, LCSW

• Internal Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.