Diane Jean Ivanov, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04824800 Issued in NJ

Practice address

77 N Main St
Ste 4
Milltown, NJ 08850-1521

Phone

(718) 496-1149

NPI assigned

Dec 1, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Diane Jean Ruggiero Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dianeivanov@tdh.allscriptsdirect.net

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.

• Blue Mood Solutions, LLC

  • Community/Behavioral Health Agency
  • East Brunswick, NJ
  • NPI 1912458167
  Authorized official Same address or phone
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Quick Mart Pharmacy & Convenience LLC

  • Community/Retail Pharmacy
  • Milltown, NJ
  • NPI 1073165403
  NPD (past)
• Quick Mart Pharmacy & Convenience LLC

  dba Quick Mart Pharmacy

  • Pharmacy
  • Milltown, NJ
  • NPI 1366577405
  NPD (past)
• Richmond Behavioral Associates, LLC

  • Psychiatry Physician
  • Staten Island, NY
  • NPI 1922200609
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932183100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 1ST AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023306",
            "telephone_number": "718-496-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N MAIN ST",
            "address_2": "STE 4",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501521",
            "telephone_number": "718-496-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANOV",
        "first_name": "DIANE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04824800",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049698-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "RUGGIERO",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Ann Harold, LCSW
• Stephanie Lynn Harris Kuiper, LPC, LCADC
• Alison Henry, RPH
• Christina Marie Hill
• Horizon Medical Supplies LLC
• Thomas Gerhard Jacoby, DMD
• Janine Essig LPC Lcadc LLC
• Joel R Kates, DPM
• Matthew A Kelleman, OD
• Kiara Physical Therapy LLC (Advanced Care Physical Therapy)

• Clinical Social Worker in Milltown, NJ
• Providers in Milltown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.