Diana R Decosimo, MD
Internal Medicine, Geriatric Medicine in Newark, New Jersey
1962437731- Practice location
- 90 Bergen St, Doc 4400, Newark, NJ 07103-2425
- Phone
- 973-972-1880
- Fax
- 973-972-1879
- Last updated
- August 27, 2009
Diana R. Decosimo is an Internal Medicine, Geriatric Medicine based in Newark, NJ. Diana R. Decosimo practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Diana R. Decosimo is 1962437731 and holds a License No. 25MA06131700 (NJ). The current practice location address for Diana R. Decosimo is 90 Bergen St, Doc 4400, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-1880 and via fax at 973-972-1879.
Provider Profile Details
- NPI Number
- 1962437731
- Provider Name
- Diana R. Decosimo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 90 Bergen St, Doc 4400, Newark, NJ 07103-2425
- Phone Number
- 973-972-1880
- Fax Number
- 973-972-1879
- Primary Taxonomy
- Internal Medicine, Geriatric Medicine · 207RG0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 11, 2006
- Last Update Date
- August 27, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Bergen St
Doc 4400
Newark, NJ 07103-2425 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2425
- Phone Number
- 973-972-1880
- Fax Number
- 973-972-1879
Provider Business Mailing Address Details
- Address
- 30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- NJ
- Zip
- 07107-3000
License Information
- License Number (1)
- 25MA06131700
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- License Number (2)
- 25MA06131700
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Geriatric Medicine · 207RG0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Diana R Decosimo, MD?
The NPI number of Diana R Decosimo, MD is 1962437731. It was assigned on July 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Diana R Decosimo, MD?
Diana R Decosimo, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in NJ under license number 25MA06131700.
Where does Diana R Decosimo, MD practice?
The practice location is 90 Bergen St, Doc 4400, Newark, NJ 07103-2425. The office can be reached at 973-972-1880 (phone) or 973-972-1879 (fax).
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 1962437731 directly on the NPPES registry website.