Individual provider Active NPI

Elan Diamond, M.D.

  • Hematology & Oncology Physician
  • Bloomfield, NJ
National Provider Identifier
1659530608
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA09722600 Issued in NJ
Practice address
1515 Broad St Ste B120
Bloomfield, NJ 07003-3059
Phone
(973) 873-7000
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA09722600 NJ
Hematology & Oncology Physician 207RH0003X 25MA09722600 NJ Primary

Addresses

Primary practice location

1515 Broad St Ste B120
Bloomfield, NJ 07003-3059

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

718 Teaneck Road
Regional Cancer Center
Teaneck, NJ 07666-4245
Phone (201) 227-6008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ediamond16904@njurology.direct-ci.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008953 NJ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8022262252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
JS Weill Medical College, Cornell University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09722600NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 31, 2021 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Oct 1, 2020 Accepting new patients
Summit Medical Group PA CurrentSince Dec 31, 2021 Accepting new patients
New Jersey Healthcare Specialists PC PastSince Nov 26, 2019 Accepting new patients
Summit Medical Group, Inc PastSince Jan 17, 2022 Accepting new patients
Stellar Anesthesia Associates LLC Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1255 Broad St
Clifton, NJ 07013
Phone (973) 471-0981

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

160 Pehle Ave
#C
Saddle Brook, NJ 07663
Phone (201) 881-1000

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

2401 E Evesham Rd
Ste F
Voorhees, NJ 08043
Phone (856) 673-1600

Interoperability endpoints

  • Direct secure messaging: elan.diamond.1@2983.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1659530608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BROAD ST STE B120",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033059",
            "telephone_number": "973-873-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Teaneck Road",
            "address_2": "Regional Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664245",
            "country_code": "US",
            "telephone_number": "201-227-6008",
            "fax_number": "201-227-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "ELAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA09722600",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA09722600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ediamond16904@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "160 Pehle Ave Ste 103",
            "city": "Saddle Brook",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076635227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.