Individual provider Active NPI

Diane Cecilia Triolo, MD

  • Specialist
  • Teaneck, NJ
National Provider Identifier
1710166228
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA09088200 Issued in NJ
Practice address
222 Cedar LN Ste 109
Teaneck, NJ 07666-4311
Phone
(201) 379-5650
Fax
(201) 357-8206
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA09088200 NJ Primary

Addresses

Primary practice location

222 Cedar LN Ste 109
Teaneck, NJ 07666-4311

Mailing address

222 Cedar LN Ste 109
Teaneck, NJ 07666-4311
Phone (201) 379-5650

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
I20120618000535 NJ Practitioner - Nephrology 1052575347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

222 Cedar LN
Suite 109
Teaneck, NJ 07666-4311
Phone (201) 833-7140

Hospital & facility affiliations

  • DaVita Hackensack Dialysis Dialysis facility, Maywood, NJ, CCN 312615
  • DaVita Renal Center of Westwood Dialysis facility, Westwood, NJ, CCN 312523
  • FMC Holy Name Dialysis facility, Teaneck, NJ, CCN 312618
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09088200NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clenton Coleman MD PC CurrentSince Sep 29, 2024 Accepting new patients
Excelcare Medical Associates, PA CurrentSince Jan 1, 2020 Accepting new patients
North Jersey Nephrology Assoc. PA CurrentSince Apr 18, 2012 Accepting new patients

Locations

1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

222 Cedar Ln
Ste 109
Teaneck, NJ 07666
Phone (201) 379-5650

246 Hamburg Tpke
Ste 207
Wayne, NJ 07470
Phone (201) 796-1200

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1710166228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CEDAR LN STE 109",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664311",
            "telephone_number": "201-379-5650",
            "fax_number": "201-357-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CEDAR LN STE 109",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664311",
            "telephone_number": "201-379-5650",
            "fax_number": "201-357-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIOLO",
        "first_name": "DIANE",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA09088200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.