Shoshana Diamond

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01404600 Issued in NJ

Practice address

11 E Connecticut Concourse
Jackson, NJ 08527-1420

Phone

(412) 414-6619

NPI assigned

Dec 8, 2022

Last updated

Dec 8, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1770294878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E CONNECTICUT CONCOURSE",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271420",
            "telephone_number": "412-414-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E CONNECTICUT CONCOURSE",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271420",
            "telephone_number": "412-414-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "SHOSHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01404600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Dent
• Michael Depaolo
• Developmental Disabilities Association of NJ Inc.
• Devereux Advanced Behavioral Health
• Christina Rose Di Vincenzo, BCBA
• Falinda C Dieujuste, LCSW
• John Dignazio
• Giana Dilascio, BCBA
• Jessica Dimarco, BCBA
• Amy A Dimmick, BCBA

• Family Nurse Practitioner in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.