Diane Gloria Verga, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04904700 Issued in NJ

Practice address

13-21 Plaza Rd
Fair Lawn, NJ 07410-3311

Phone

(201) 791-2900

Fax

(201) 791-3241

NPI assigned

Feb 15, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1770626111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538175",
            "telephone_number": "848-223-7120",
            "fax_number": "732-349-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-21 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103311",
            "telephone_number": "201-791-2900",
            "fax_number": "201-791-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGA",
        "first_name": "DIANE",
        "middle_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04904700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3368807-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VDB Enterprises, LLC
• Ijaz Vehra, M.D, FACC
• Ana C Velazco
• Henry Velez, MD
• Isabel Odeida Velez, M.D.
• John Francis Verney, LSW
• Rebecca Vicente, M.S.W., L.C.S.W.
• Jennifer J Victoria-Proano, MA, LAC, CBIS
• Vidya Vidyasagarrajan
• Julie Vincent

• Internal Medicine Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.