Active NPI
Ellen R Dichiara, APN-C
- Family Nurse Practitioner
- Nutley, NJ
National Provider Identifier
1972634996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00075400
- Practice address
- 349 Passaic Ave
Nutley, NJ 07110-2738 - Phone
- (973) 667-8889
- NPI assigned
- Mar 8, 2007
- Last updated
- Mar 22, 2011
- Sex
- Female
- Sole proprietor
- No
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 Nurse Practitioner | 363LF0000X | 26NJ00075400 | NJ | Primary |
Addresses
Primary practice location
349 Passaic Ave
Nutley, NJ 07110-2738
Mailing address
76 Monona Ave
Rutherford, NJ 07070-1012
Phone (201) 314-5525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LSC Pharmacy Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Barnabas Health Retail Pharmacy
- Community/Retail Pharmacy
- Jersey City, NJ
- NPI 1699231431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1972634996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 MONONA AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701012",
"telephone_number": "201-314-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 PASSAIC AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071102738",
"telephone_number": "973-667-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICHIARA",
"first_name": "ELLEN",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "APN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00075400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.