Laurie Jansson Didyk, MSN APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00054900 Issued in NJ

Practice address

1361 Route 72 W
Manahawkin, NJ 08050-2417

Phone

(609) 978-0600

Fax

(609) 978-1635

NPI assigned

Feb 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laurie.jansson-didyk.1@13312.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4

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.

• Sterling Surgical Services, LLC

  • Perioperative Clinical Nurse Specialist
  • Little Egg Harbor TWP, NJ
  • NPI 1982739793

  Adult Health

  NPD (past) Authorized official
• Deborah Cardiovascular Group, P.C.

  • Specialist
  • Browns Mills, NJ
  • NPI 1821041732
  NPD
• Professional Service Fund of Deborah Heart & Lung Center

  • Specialist
  • Browns Mills, NJ
  • NPI 1407803596
  NPD
• Professional Service Fund of Deborah- Anesthesia

  • Specialist
  • Browns Mills, NJ
  • NPI 1902852015
  NPD
• Hospital Group of South Jersey, PC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1750338307
  NPD (past)

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1699740209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502417",
            "telephone_number": "609-978-0600",
            "fax_number": "609-978-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502417",
            "telephone_number": "609-978-0600",
            "fax_number": "609-978-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDYK",
        "first_name": "LAURIE",
        "middle_name": "JANSSON",
        "credential": "MSN APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-18",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00054900",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO06959300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00054900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038491",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Desanto, MA, CCC-SLP
• Alfred James Desimone, DMD
• Molly Lorraine Devaney, CF-SLP
• Frederic Dewil, MD
• Dialysis Services of NJ Inc-Manahawkin
• Andrea Difiore, CRNA
• Lisa Marie Dinkelacker, LPN
• Seth Dinowitz, MD
• Stephanie Lynn Dittus, P.T.A
• Stephanie A Dolan, PA-C

• Adult Health Nurse Practitioner in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.