Individual provider Active NPI

Diane Marolda, RN, MSN, ANP

  • Acute Care Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1841278892
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00058300 Issued in NJ
Practice address
2073 Klockner Rd
Hamilton, NJ 08690
Phone
(609) 584-1212
Fax
(609) 584-0103
NPI assigned
Jan 9, 2006
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00058300 NJ Primary
Critical Care Medicine Registered Nurse 163WC0200X 26NR11349500 NJ

Addresses

Primary practice location

2073 Klockner Rd
Hamilton, NJ 08690

Mailing address

2073 Klockner Rd
Hamilton, NJ 08690
Phone (609) 584-1212

Other identifiers 2

IdentifierTypeStateIssuer
8221405MedicaidNJ
22-3052989OtherTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000334 NJ Practitioner - Nurse Practitioner 9436125994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Cardiology Associates PAGroup PAC ID 4284629932, 20 clinicians

Practice addresses (Care Compare)

1262 B Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3707
Phone (609) 584-1212

2073 Klockner Rd
Hamilton, NJ 08690-3414
Phone (609) 584-1212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
301518NYMDLicensed Practical Nurse
26NJ00058300NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Cardiology Associates, PA CurrentSince Aug 16, 2004 Accepting new patients
Hamilton Infectious Disease Associates Past Accepting new patients
Docs Physicians Affiliated With Bimc Past Accepting new patients

Locations

1262B Whitehorse Hamilton Square Rd
Hamilton, NJ 08690
Phone (609) 584-1212

5 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 269-9230

2073 Klockner Rd
Trenton, NJ 08690
Phone (609) 584-1212

Interoperability endpoints

  • Direct secure messaging: diane.marolda.1@33139.direct.athenahealth.com
  • Direct secure messaging: dmarolda@hca.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.762

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1841278892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-584-1212",
            "fax_number": "609-584-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-584-1212",
            "fax_number": "609-584-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROLDA",
        "first_name": "DIANE",
        "credential": "RN, MSN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00058300",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NJ",
            "license": "26NR11349500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8221405",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "22-3052989",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.