Vernisse Diana Molina

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

307 77TH St Apt 2
North Bergen, NJ 07047-5615

Phone

(201) 220-3635

NPI assigned

Sep 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1942979075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 77TH ST APT 2",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 77TH ST APT 2",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475615",
            "telephone_number": "201-220-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "VERNISSE",
        "middle_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omead Mirgoli, MD
• Cynthia Mofunanya
• Ahmed Salaheldin Mohamed, MD
• Jack Laurence Moi, DO
• Alex A Molina, MD
• Eduardo Alberto Montero Berges, MD
• Eduardo Montes, MD
• Ingrid Montgomery, MD
• Edna Paola Montoya
• Angel Luis Morales, LMSW/LSW

• Behavior Technician in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Behavior Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.