Diana Martirosyan
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Camden, NJ
NPI 1679159198 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1679159198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (215) 882-4649
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Drexel University College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiovascular Associates of the Delaware Valley,P a
Practice addresses (Care Compare)
210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003
Hospital & facility affiliations
- Deborah Heart and Lung Center
- Jefferson Stratford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250319003279 | NJ | Practitioner - Internal Medicine | 7113465527 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Associates of the Delaware Valley,P a | Current |
Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
120 White Horse Pike
Ste 112
Haddon Hgts, NJ 08035
Phone 85654705392215
210 W Atlantic Ave
Haddon Hts, NJ 08035
Phone (856) 546-3003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone (215) 882-4649
Other providers in Camden, NJ
- Kieran Martin
- Sydney Martin
- Frances Aileen Martinez
- Loren Martinez
- Miguel E Martinez
- Jacqueline F Marzan
- Vincent G. Masci
- Rakesh Mashru
- Rashid Mason
- Kasey Lyn Massa
All providers in Camden, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.