Active NPI
Hadiatou Diallo'S Primary & Mental Care LLC
- Family Medicine Physician
- Jersey City, NJ
National Provider Identifier
1780411587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HADIATOU DIALLO'S PRIMARY & MENTAL CARE LLC
- Practice address
- 97 Newkirk St Apt 228-229
Jersey City, NJ 07306-3021 - Phone
- (201) 618-6623
- NPI assigned
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ibrahima Diallo, NP
- Title
- Owner
- Phone
- (201) 618-6623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
97 Newkirk St Apt 228-229
Jersey City, NJ 07306-3021
Mailing address
155 Willowbrook Blvd Ste 110
Wayne, NJ 07470-7033
Phone (201) 618-6623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14 Church St
Newton, NJ 07860
Phone (862) 362-6408
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Jersey City, NJ
- NPI 1639651714
Psychiatric/Mental Health
-
- Family Nurse Practitioner
- Princeton, NJ
- NPI 1760027692
-
- Adult Health Nurse Practitioner
- Marlton, NJ
- NPI 1225317373
Psychiatric/Mental Health
-
- Family Nurse Practitioner
- Newark, NJ
- NPI 1336805415
-
- Nurse Practitioner
- Highland Park, NJ
- NPI 1205306966
-
- Family Nurse Practitioner
- Englishtown, NJ
- NPI 1760287072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1780411587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WILLOWBROOK BLVD STE 110",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707033",
"telephone_number": "201-618-6623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 NEWKIRK ST APT 228-229",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073063021",
"telephone_number": "201-618-6623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HADIATOU DIALLO'S PRIMARY & MENTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-16",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "DIALLO",
"authorized_official_first_name": "IBRAHIMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-618-6623",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.