Individual provider Active NPI

Diane Tumolo

  • Adult Health Nurse Practitioner
  • Drexel Hill, PA
National Provider Identifier
1902340813
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP016622 Issued in PA
Practice address
5030 State Rd
Drexel Hill, PA 19026-4605
Phone
(610) 394-1330
NPI assigned
Dec 12, 2016
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP016622 PA Primary
Adult Health Nurse Practitioner 363LA2200X LP-0010554 DE

Addresses

Primary practice location

5030 State Rd
Drexel Hill, PA 19026-4605

Mailing address

5030 State Rd
Drexel Hill, PA 19026-4605
Phone (610) 394-1330

Other practice location 1

44 Ferguson Ave
Broomall, PA 19008-2601
Phone (610) 505-4443

Other practice location 2

101 Greenwood Ave Ste 140
Jenkintown, PA 19046-2649
Phone (973) 241-1356

Other practice location 3

2002 Foulk Rd Ste D
Wilmington, DE 19810-3643
Phone (302) 334-0330

Other practice location 4

325 Chestnut St Ste 800
Philadelphia, PA 19106-2608
Phone (973) 241-1356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170714001461 PA Practitioner - Nurse Practitioner 4880964436 Reassigns benefits to 4 organizations
I20260512001651 DE Practitioner - Nurse Practitioner 4880964436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians

Practice addresses (Care Compare)

325 Chestnut St
Suite 800
Philadelphia, PA 19106-2608
Phone (973) 241-1356

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2016015030PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ III PC Single Specialty CurrentSince Oct 4, 2025 Accepting new patients
Ennoble HC NJ PC Single Specialty CurrentSince Dec 8, 2025 Accepting new patients
H&M Urgent Care Inc Single Specialty CurrentSince Nov 21, 2025 Accepting new patients
Ennoble HC NJ II PC Single Specialty CurrentSince Oct 4, 2025 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

101 Greenwood Ave
Ste 140
Jenkintown, PA 19046
Phone (973) 241-1356

325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone (973) 241-1356

Organizations & group practices 5

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 1

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": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1902340813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264605",
            "telephone_number": "610-394-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264605",
            "telephone_number": "610-394-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Ferguson Ave",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190082601",
            "country_code": "US",
            "telephone_number": "610-505-4443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Greenwood Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462649",
            "country_code": "US",
            "telephone_number": "973-241-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 Foulk Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198103643",
            "country_code": "US",
            "telephone_number": "302-334-0330",
            "fax_number": "302-334-0329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Chestnut St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191062608",
            "country_code": "US",
            "telephone_number": "973-241-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMOLO",
        "first_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP016622",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LP-0010554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.