Active NPIIndividual providerSole proprietor

Louis Diamond, PA

Physician Assistant in Bergenfield, New Jersey

NPI Number1265946222
Practice location
19 S Washington Ave, Bergenfield, NJ 07621-2324
Fax
—
Last updated
July 27, 2021

Louis Diamond is a Physician Assistant based in Bergenfield, NJ. Louis Diamond practices in Bergenfield, NJ and has the professional credentials of PA. The NPI Number for Louis Diamond is 1265946222 and holds a License No. 25MP00456500 (NJ). The current practice location address for Louis Diamond is 19 S Washington Ave, Bergenfield, NJ 07621-2324 and can be reached out via phone at 201-387-0177.

Provider Profile Details

NPI Number
1265946222
Provider Name
Louis Diamond
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
19 S Washington Ave, Bergenfield, NJ 07621-2324
Phone Number
201-387-0177
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 28, 2017
Last Update Date
July 27, 2021
Certification Date
July 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 S Washington Ave
Bergenfield, NJ 07621-2324
Zip
07621-2324
Phone Number
201-387-0177
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
10912 La Salinas Cir
Boca Raton, FL 33428-1237
City
Boca Raton
State
FL
Zip
33428-1237
Phone Number
561-239-3436

License Information

License Number (1)
25MP00456500
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA9113658
License State (2)
FL
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Louis Diamond, PA?

The NPI number of Louis Diamond, PA is 1265946222. It was assigned on November 28, 2017 and is currently active in the NPPES registry.

What is the specialty of Louis Diamond, PA?

Louis Diamond, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00456500.

Where does Louis Diamond, PA practice?

The practice location is 19 S Washington Ave, Bergenfield, NJ 07621-2324. The office can be reached at 201-387-0177 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265946222 directly on the NPPES registry website.

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