Active NPI
Diane Tumolo
- Adult Health Nurse Practitioner
- Drexel Hill, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP016622
- Practice address
- 5030 State Rd
Drexel Hill, PA 19026-4605 - Phone
- (610) 394-1330
- NPI assigned
- Dec 12, 2016
- Last updated
- Jun 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2016015030 | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ III PC | Single Specialty | Current | Accepting new patients |
| Ennoble HC NJ PC | Single Specialty | Current | Accepting new patients |
| H&M Urgent Care Inc | Single Specialty | Current | Accepting new patients |
| Ennoble HC NJ II PC | Single Specialty | Current | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1306500764
PA, Single Specialty
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1871475806
PA, Single Specialty
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1043192099
PA, Single Specialty
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1275697088
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Philadelphia, PA
- NPI 1144827429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.