Individual provider Active NPI

Diana N Traquina, MD

  • Pediatric Otolaryngology Physician
  • New Brunswick, NJ
National Provider Identifier
1669533766
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
MA68506 Issued in NJ
Practice address
181 Somerset St
New Brunswick, NJ 08901-1946
Phone
(732) 247-2401
Fax
(732) 247-6920
NPI assigned
Dec 12, 2006
Last updated
Jul 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X MA68506 NJ Primary

Addresses

Primary practice location

181 Somerset St
New Brunswick, NJ 08901-1946

Mailing address

181 Somerset St
New Brunswick, NJ 08901-1946
Phone (732) 247-2401

Other identifiers 1

IdentifierTypeStateIssuer
8868409MedicaidNJ

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
I20110712000040 NJ Practitioner - Otolaryngology 3375721665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Yale University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians

Practice addresses (Care Compare)

123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

562 Easton Ave
Spuh Ambulatory Care Group
Somerset, NJ 08873-1900
Phone (732) 745-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA68506NJMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter's University Hospital CurrentSince Oct 1, 2021 Accepting new patients
Saint Peter's University Hospital CurrentSince Oct 1, 2021 Accepting new patients
Saint Peter's Specialty Physicians, P.C. CurrentSince Dec 1, 2023 Accepting new patients

Locations

308 Willow Ave
Fl 1
Hoboken, NJ 07030
Phone (201) 620-3120

500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

562 Easton Ave
Ste 2
Somerset, NJ 08873

Interoperability endpoints

  • Direct secure messaging: diana.traquina.1@8568.direct.athenahealth.com
  • Direct secure messaging: diana.traquina.2@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1669533766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 SOMERSET ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011946",
            "telephone_number": "732-247-2401",
            "fax_number": "732-247-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 SOMERSET ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011946",
            "telephone_number": "732-247-2401",
            "fax_number": "732-247-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAQUINA",
        "first_name": "DIANA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NJ",
            "license": "MA68506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8868409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.