DIANA R. DECOSIMO M.D. NPI 1962437731

NPI Information

NPI: 1962437731
Provider Name: DIANA R. DECOSIMO, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
90 BERGEN ST
DOC 4400
NEWARK, NJ
ZIP 07103
Phone: (973) 972-1880
Get Directions

Diana R. Decosimo, M.D. is a geriatric medicine internal medicine in Newark, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Diana R. Decosimo, M.D. NPI is 1962437731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

90 BERGEN ST
DOC 4400
NEWARK, NJ
ZIP 07103-425
Phone: (973) 972-1880
Fax: (973) 972-1879

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	25MA06131700	NEW JERSEY	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	25MA06131700	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A67465	MEDICARE UPIN	NEW JERSEY
2	6326200	MEDICAID	NEW JERSEY
3	545583	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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