Organization Active NPI

Diabetes Concepts- LLC

  • Health Service Clinic/Center
  • Somerset, NJ
National Provider Identifier
1891080040
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DIABETES CONCEPTS- LLC
Practice address
1075 Easton Ave Ste 11-258
Somerset, NJ 08873-1648
Phone
(848) 237-9715
NPI assigned
Jun 16, 2011
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Dorothy Ozurumba, APNNPI 1962609909
Title
Owner/Director
Phone
(848) 237-9715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1075 Easton Ave Ste 11-258
Somerset, NJ 08873-1648

Mailing address

1075 Easton Ave Ste 11-630
Somerset, NJ 08873-1648
Phone (848) 237-9715

Other identifiers 1

IdentifierTypeStateIssuer
0250376MedicaidNJ

National Provider Directory

National Provider Directory

Locations

680 Broadway
#B9
Paterson, NJ 07514
Phone (732) 593-7316

120 W 7th St
Ste 214
Plainfield, NJ 07060
Phone (908) 293-2449

1075 Easton Ave
Ste 11258
Somerset, NJ 08873
Phone (848) 237-9715

1075 Easton Ave
Ste 11630
Somerset, NJ 08873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1891080040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 EASTON AVE STE 11-630",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731648",
            "telephone_number": "848-237-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 EASTON AVE STE 11-258",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731648",
            "telephone_number": "848-237-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES CONCEPTS- LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "OZURUMBA",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "848-237-9715",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250376",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.