Diana Marie Constantino, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00551300 Issued in NJ

Practice address

1 Sears Dr Ste 402
Paramus, NJ 07652-3520

Phone

(201) 483-9188

Fax

(201) 483-9189

NPI assigned

Jul 28, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698451200000",
    "number": "1730564188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEARS DR STE 402",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523520",
            "telephone_number": "201-483-9188",
            "fax_number": "201-483-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEARS DR STE 402",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523520",
            "telephone_number": "201-483-9188",
            "fax_number": "201-483-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "DIANA MARIE",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00551300",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00551300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Nephrology of North Jersey Corp
• Comprehensive Nephrology of Northern New Jersey LLC
• Comprehensive Therapy of Paramus, LLC
• Computer Enabling Program Foundation
• Kimberly L Conk
• Theodore Joseph Conte, MD,
• Maria Jose Contreras Castillo, M.D.
• Renzo Contreras
• Cynthia Rose Cook, BCBA
• Marissa Morae Cook

• Adult Health Nurse Practitioner in Paramus, NJ
• Providers in Paramus, 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 Oct 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.