Active NPI
Diana Fibison, M.D.
- Family Medicine Physician
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA09781800
- Practice address
- 533 Lexington Ave
Clifton, NJ 07011-1923 - Phone
- (973) 546-6844
- Fax
- (973) 546-7707
- NPI assigned
- Jan 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA09781800 | NJ | Primary |
Addresses
Primary practice location
533 Lexington Ave
Clifton, NJ 07011-1923
Mailing address
533 Lexington Ave
Clifton, NJ 07011-1923
Phone (973) 546-6844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09781800 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sovereign Medical Group, LLC | Current | Accepting new patients | |
| Ritu Suri MD, LLC | Current | Accepting new patients | |
| Sovereign Medical Group LLC | Current | Accepting new patients | |
| BHMG - United Medical | Family Medicine | Current | Accepting new patients |
| Somc Medical Group PC | Current | Accepting new patients | |
| Ocean County Family Care, P.a. | Current | Accepting new patients |
Locations
2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548
630 Broad St
#2
Carlstadt, NJ 07072
Phone (201) 985-8967
533 Lexington Ave
Clifton, NJ 07011
Phone (973) 546-6844
245 Engle St
Englewood, NJ 07631
Phone (201) 568-0770
85 Harristown Rd
Fl 2
Glen Rock, NJ 07452
Phone (201) 703-5500
27 S Cooks Bridge Rd
Ste 1-4
Jackson, NJ 08527
Phone (732) 364-3881
612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063
680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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- NPI 1821019787
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1801266275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1932479706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 LEXINGTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111923",
"telephone_number": "973-546-6844",
"fax_number": "973-546-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 LEXINGTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111923",
"telephone_number": "973-546-6844",
"fax_number": "973-546-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIBISON",
"first_name": "DIANA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA09781800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.