Active NPI
Diane Della Porta, RN
- Registered Nurse
- Newark, NY
National Provider Identifier
1801201777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 471946-1
- Practice address
- 1208 Driving Park Ave
Newark, NY 14513-1057 - Phone
- (315) 359-2640
- Fax
- (315) 359-2645
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 471946-1 | NY | Primary |
Addresses
Primary practice location
1208 Driving Park Ave
Newark, NY 14513-1057
Mailing address
1208 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 359-2640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 471946-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1801201777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 DRIVING PARK AVE",
"city": "NEWARK",
"state": "NY",
"postal_code": "145131057",
"telephone_number": "315-359-2640",
"fax_number": "315-359-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 DRIVING PARK AVE",
"city": "NEWARK",
"state": "NY",
"postal_code": "145131057",
"telephone_number": "315-359-2640",
"fax_number": "315-359-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLA PORTA",
"first_name": "DIANE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "471946-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.