Individual provider Active NPI

Vincent James Diana, D.C.

  • Chiropractor
  • Allentown, PA
National Provider Identifier
1801286091
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010991 Issued in PA
Practice address
1125 S Cedar Crest Blvd Ste 202
Allentown, PA 18103-7903
Phone
(610) 674-0363
NPI assigned
Jan 27, 2015
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00724600 NJ
Chiropractor 111N00000X DC010991 PA Primary

Addresses

Primary practice location

1125 S Cedar Crest Blvd Ste 202
Allentown, PA 18103-7903

Mailing address

1125 S Cedar Crest Blvd Ste 202
Allentown, PA 18103-7903
Phone (610) 674-0363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150414000044 NJ Practitioner - Chiropractic 3375861875 Reassigns benefits to 3 organizations
I20230804002542 PA Practitioner - Chiropractic 3375861875 Reassigns benefits to 1 organization
I20250206003336 FL Practitioner - Chiropractic 3375861875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Chiropractic IncGroup PAC ID 1850535998, 3 clinicians

Practice addresses (Care Compare)

2206 Jo an Dr
Suite 1
Sarasota, FL 34231-4080
Phone (941) 487-0266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00724600NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2023 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Performance Medical of Watchung LLC Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2023 Accepting new patients
Performance Medical Group of Somerset CurrentSince Jan 1, 2021 Accepting new patients
Integrated Chiropractic Inc Chiropractor CurrentSince Feb 17, 2025 Accepting new patients

Locations

2206 Jo An Dr
Ste 1
Sarasota, FL 34231
Phone (941) 487-0266

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 860-5757

10 Johnston Dr
Watchung, NJ 07069

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

1621 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 402-3300

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

2597 Schoenersville Rd
Ste 101
Bethlehem, PA 18017
Phone (610) 402-3560

2649 Schoenersville Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-8110

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1801286091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S CEDAR CREST BLVD STE 202",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037903",
            "telephone_number": "610-674-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S CEDAR CREST BLVD STE 202",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037903",
            "telephone_number": "610-674-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANA",
        "first_name": "VINCENT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00724600",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.