Individual provider Active NPI

Diane Naraine, APN

  • Family Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1972080612
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00839200 Issued in NJ
Practice address
1011 Clifton Ave
Clifton, NJ 07013-3518
Phone
(973) 471-8200
Fax
(973) 471-3032
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00839200 NJ Primary

Addresses

Primary practice location

1011 Clifton Ave
Clifton, NJ 07013-3518

Mailing address

1130 McBride Ave FL 3
Woodland Park, NJ 07424-3806
Phone (973) 812-1400

Other identifiers 1

IdentifierTypeStateIssuer
0664235MedicaidNJ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190319000930 NJ Practitioner - Nurse Practitioner 2961742580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians
BHMG - United MedicalGroup PAC ID 5193949865, 28 clinicians

Practice addresses (Care Compare)

1011 Clifton Ave
Clifton, NJ 07013-3518
Phone (973) 471-8200

988 Broadway
Suite 201
Bayonne, NJ 07002-4036
Phone (201) 339-6111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of New Jersey, LLC CurrentSince Feb 17, 2019 Accepting new patients
BHMG - United Medical CurrentSince Jul 3, 2019 Accepting new patients

Locations

988 Broadway
Ste 201
Bayonne, NJ 07002
Phone (201) 339-6111

988 Broadway
Ste 1
Bayonne, NJ 07002

988 Broadway
Ste 202
Bayonne, NJ 07002

533 Lexington Ave
Clifton, NJ 07011
Phone (973) 546-6844

1011 Clifton Ave
Clifton, NJ 07013
Phone (973) 471-8200

52 1st St
Hackensack, NJ 07601
Phone (201) 488-3003

612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-8888

Interoperability endpoints

  • Direct secure messaging: dnaraine124305@epicdirect.rwjbh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA
  • Direct secure messaging: diane.naraine@ganj.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1972080612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVE FL 3",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243806",
            "telephone_number": "973-812-1400",
            "fax_number": "973-812-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133518",
            "telephone_number": "973-471-8200",
            "fax_number": "973-471-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAINE",
        "first_name": "DIANE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00839200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0664235",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.