Diane K. Dworkin DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00212600 Issued in NJ

Legal business name

DIANE K. DWORKIN DPM LLC

Practice address

631 Broadway
3Rd Floor
Bayonne, NJ 07002-3846

Phone

(201) 243-0700

NPI assigned

Aug 9, 2007

Last updated

Aug 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Diane Dworkin, DPMNPI 1598837122

Title

President

Phone

(201) 243-0700

Specialties & licenses 1

Addresses

Locations

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.

• Diane Kathryn Dworkin

  • Podiatrist
  • Bayonne, NJ
  • NPI 1598837122
  NPD (past) Authorized official

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1902097389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BROADWAY",
            "address_2": "3RD FLOOR",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BROADWAY",
            "address_2": "3RD FLOOR",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023846",
            "telephone_number": "201-243-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE K. DWORKIN DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "DWORKIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-243-0700",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00212600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Jeanne Derrick, PHARMD
• Jyoti M Deshpande, MD
• Devaleq Consulting LLC
• Princess-Ann Dewar
• Tripinder Dhaliwal, DMD
• Francisco J Diaz, M.D.
• Patricia Dibos, D.M.D.
• Thomas John Dichiara, DO
• Jean H Dineen, RPH., PHD
• Shamel F Dingle

• Podiatrist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.