DR. DIANE E FRESCA (NPI# 1104084649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104084649 |
| Entity Type | Individual |
| Full Name | DR. DIANE E FRESCA |
| Credential | M.D. |
| Practice Address |
601 Ewing St Suite C-8 Princeton NJ 08540-2757 |
| Practice Telephone | 6099244433 |
| Practice Fax Number | 6099244423 |
| Mailing Telephone | 6099244433 |
| Mailing Fax Number | 6099244423 |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
25MA07686400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
601 EWING ST SUITE C-8 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455469 | Suzanne B Reinhardt | Dentist | 601 Ewing St, Ste B4, Princeton, NJ 08540-2755 | 2005-05-23 |
| 1518507631 | W.o.w. Counseling & Consulting LLC | Community/Behavioral Health | 601 Ewing St, Princeton, NJ 08540-2757 | 2020-01-07 |
| 1174026694 | Roberta Shakun Devery | Occupational Therapist | 601 Ewing St, Princeton, NJ 08540-2757 | 2018-03-11 |
| 1376075440 | Bhat Psychological Services | Psychologist | 601 Ewing St, Suite A12, Princeton, NJ 08540-2754 | 2017-03-29 |
| 1134589567 | Silver Lining Counseling LLC | Community/Behavioral Health | 601 Ewing St, Suite B5, Princeton, NJ 08540-2757 | 2016-02-26 |
| 1881050896 | Shamila Malik | Social Worker | 601 Ewing St, Suite B5, Princeton, NJ 08540-2757 | 2016-01-06 |
| 1588032320 | Lisa Kestler | Psychologist | 601 Ewing St, Suite C9, Princeton, NJ 08540-2757 | 2015-09-10 |
| 1902281330 | Erin Yurchenko Lpc | Counselor | 601 Ewing St, B5, Princeton, NJ 08540-2757 | 2015-07-28 |
| 1275912461 | Princeton Healthcare Affiliated Physicians PC | Internal Medicine | 601 Ewing St, Ste C13, Princeton, NJ 08540-2758 | 2015-05-21 |
| 1114319696 | Karen Nathan | Nutritionist | 601 Ewing St, C-10, Princeton, NJ 08540-2757 | 2015-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396302014 | Advocare, LLC | Internal Medicine | 256 Bunn Dr Ste D, Princeton, NJ 08540-2859 | 2019-05-29 |
| 1023242799 | Ewa Ruel | Internal Medicine | 601 Ewing St Ste C8, Princeton, NJ 08540-2756 | 2009-05-11 |
| 1225262355 | Paul Jan Deutsch | Internal Medicine | 50 Maybury Hill Rd, Princeton, NJ 08540-3617 | 2009-05-04 |
| 1922033067 | Alan C Moses | Internal Medicine | Novo Nordisk Inc, Princeton, NJ 08540 | 2006-07-11 |
| 1215288089 | Princeton Integral Endocrinology, LLC | Internal Medicine | 20 Nassau St, Suite 208, Princeton, NJ 08542-4509 | 2012-09-19 |
| 1992018774 | Rajshree Manthan Patel | Internal Medicine | 419 N Harrison St Ste 101, Princeton, NJ 08540-3594 | 2010-07-21 |
| 1629278536 | Ansu Varughese Joy | Internal Medicine | 601 Ewing St, Princeton, NJ 08540-2757 | 2007-07-19 |
| 1346300852 | Angela Inzerillo | Internal Medicine | 166 Bunn Dr, Ste 109, Princeton, NJ 08540-2800 | 2006-12-12 |
| 1700946225 | Henry Howard Goldstein | Internal Medicine | 419 N Harrison St, Princeton, NJ 08540-3594 | 2006-12-12 |
| 1568557510 | Maria Benito-herrero | Internal Medicine | 20 Nassau St, Suite 208, Princeton, NJ 08542-4509 | 2006-10-04 |
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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.