DR. DIANA VICTORIA MARIN (NPI# 1093701161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093701161 |
Entity Type | Individual |
Full Name | DR. DIANA VICTORIA MARIN |
Credential | M.D. |
Practice Address |
150 Bergen Street Level C Newark NJ 07103 |
Mailing Address |
30 Bergen Street Building 12 Room 1205 Newark NJ 07107-3000 |
Practice Telephone | 9739725188 |
Practice Fax Number | 9739722307 |
Mailing Telephone | 9729720037 |
Mailing Fax Number | 9739720743 |
Enumeration Date | 2005-09-23 |
Last Update Date | 2018-09-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
25MA10311000 | NJ | Allopathic & Osteopathic Physicians |
N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
ME94558 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 274212800 | 05 | |
NJ | 0062685 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253092 | Diana Marin | Behavior Technician | 427 Ala Makani St, Kahului, HI 96732-3507 | 2020-10-23 |
1720642291 | Diana Marin | Case Manager/Care Coordinator | 10550 Nw 77th Ct Ste 313-314, Hialeah Gardens, FL 33016-7084 | 2019-04-30 |
Street Address |
150 BERGEN STREET LEVEL C |
City | NEWARK |
State | NJ |
Zip Code | 07103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992324073 | Christopher W Sandifer | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2020-04-09 |
1720621345 | Jooly P Koshy | Nurse Practitioner | 150 Bergen Street, Newark, NJ 07103 | 2019-10-26 |
1083174072 | Rakhee Jayant Barai | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103-2496 | 2019-03-25 |
1972063055 | Maryam Kazmi | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103-2496 | 2019-03-23 |
1043770456 | Hasan Mustafa Ali | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103-2496 | 2019-03-21 |
1457811085 | Daniel Rim | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2019-03-20 |
1942769724 | Raina Bembry | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2019-03-19 |
1881199768 | Christopher William Seery | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2018-03-24 |
1154825362 | Dayna Lakshesh Panchal | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2018-03-21 |
1528562915 | Regine Boutin | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh-i248, Newark, NJ 07101 | 2018-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
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Taxonomy Code | 2085P0229X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Pediatric Radiology |
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265433858 | William W Fischer | Radiology | 150 Bergen St, Level C, Newark, NJ 07103-2496 | 2005-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497047096 | Scott David Willard | Radiology | 325 Route 70 E, Cherry Hill, NJ 08034 | 2011-05-14 |
1831344019 | Carol Ann Wollman | Radiology | 122 Brookview Dr, Woodcliff Lake, NJ 07677-8236 | 2008-12-01 |
1174983498 | Childrens Radiology Assocites of New Jersey PC | Radiology | 1012 Laurel Oak Rd, Rach Nj @voorhees Scc, Voorhees, NJ 08043-3505 | 2016-02-29 |
1881013738 | Vincent Lee | Radiology | 483 Cranbury Road, University Radiology Group, PC, East Brunswick, NJ 08816 | 2014-04-08 |
1093079121 | James R. Hogan | Radiology | 483 Cranbury Rd, East Brunswick, NJ 08816-3610 | 2012-07-03 |
1417184342 | David T Saul | Radiology | 1280 Almonesson Rd, Deptford, NJ 08096 | 2009-06-18 |
1013173640 | Thomas Jonathan Presenza | Radiology | 1 Cooper Plz, Radiology Dept, Camden, NJ 08103-1461 | 2008-08-04 |
1407016280 | Rebecca Cooper Winter | Radiology | 2501 Kuser Rd, Hamilton, NJ 08691-3386 | 2008-06-14 |
1962677229 | Mark Christopher Liszewski | Radiology | 483 Cranbury Rd, East Brunswick, NJ 08816-3610 | 2008-04-28 |
1629286315 | Stephanie Beale Hanhan | Radiology | 483 Cranbury Rd, East Brunswick, NJ 08816-3610 | 2007-05-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.