Si Yan Diana Dou, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP001414400 Issued in NJ

Practice address

79 E Railroad Ave
Jamesburg, NJ 08831-1207

Phone

(732) 561-8555

Fax

(732) 561-1165

NPI assigned

Dec 4, 2008

Last updated

Dec 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Theracorp, LLCGroup PAC ID 8426319104, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Theracorp, LLC

  • Clinical Social Worker
  • Jamesburg, NJ
  • NPI 1063947828
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1710122767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 WILLOW WINDS PKWY",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E RAILROAD AVE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311207",
            "telephone_number": "732-561-8555",
            "fax_number": "732-561-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOU",
        "first_name": "SI YAN",
        "middle_name": "DIANA",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP001414400",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Helen Cooper, LAC
• Kiele Cruse
• Debra Demarco, D.C.
• Ashesh Desai, DMD
• Dominion Physical Therapy
• Shaunak A Dwivedi, D.O
• Easter Seals New Jersey
• Easter Seals New Jersey
• Easter Seals New Jersey
• Easter Seals New Jersey

• Physician Assistant in Jamesburg, NJ
• Providers in Jamesburg, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.