MR. DIANE BALLOU CUCCI (NPI# 1134293517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134293517 |
| Entity Type | Individual |
| Full Name | MR. DIANE BALLOU CUCCI |
| Credential | REGISTERED NURSE |
| Practice Address |
Jersey Shore University Medical Center 1945 State Route 33 Neptune NJ 07712-0397 |
| Mailing Address |
116 New York Ave Point Pleasant Beach NJ 08742-3332 |
| Practice Telephone | 7327762325 |
| Mailing Telephone | 7328922596 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
26NO03942500 | NJ | Nursing Service Providers |
| Street Address |
JERSEY SHORE UNIVERSITY MEDICAL CENTER 1945 STATE ROUTE 33 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07712-0397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771375 | Adam Jon Muncan | Student in an Organized Health Care Education/Training Program | Jersey Shore University Medical Center, 1945 State Route 33, Neptune, NJ 07753 | 2020-05-14 |
| 1689296097 | Jason Michael Christopher | Student in an Organized Health Care Education/Training Program | Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07753 | 2020-05-08 |
| 1427542596 | Michelle Taylor Jaehning | Student in an Organized Health Care Education/Training Program | Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07753 | 2018-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275762 | Derek Du | Physical Therapist | 52 Dune Rd, Ocean Township, NJ 07712 | 2020-08-12 |
| 1295395630 | Lauren Rosenthal | Behavior Technician | 3 Michael Dr, Tinton Falls, NJ 07712 | 2019-06-18 |
| 1649743287 | Zachary Fendrick | Physical Therapist | 1540 West Park Ave Unit #4, Tinton Falls, NJ 07712 | 2019-01-07 |
| 1922597988 | Rosemary E Smentkowski | Nurse Practitioner | 1518 4th Ave, Asbury Park, NJ 07712 | 2018-05-05 |
| 1285131748 | Life Long Health Incorporated | Durable Medical Equipment & Medical Supplies | 606 Bangs Ave 3rd Floor, Unit 327, Asbury Park, NJ 07712 | 2018-04-11 |
| 1174035745 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt #213, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-11-03 |
| 1033629159 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 103, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1477063592 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 105, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1750891966 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 107, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457526 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 110, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| Find all providers in zip 07712 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649717976 | Omawattie Harper | Registered Nurse | 1945 Route33, Neptune, NJ 07753 | 2017-01-25 |
| 1689693525 | Mae Francis Burrell | Registered Nurse | 1945 Rt. 33, Neptune, NJ 07753-3114 | 2006-07-19 |
| 1033655949 | Shakia West | Registered Nurse | 1945 Route 33, Neptune, NJ 07753-4859 | 2017-01-17 |
| 1184982779 | Martin J Marino Jr. | Registered Nurse | 1945 Route 33, Crisis Unit, Neptune, NJ 07753-4859 | 2012-05-02 |
| 1487887089 | Laura Elizabeth Salerno | Registered Nurse | 1945 Rte 33, Neptune, NJ 07753-4859 | 2009-08-29 |
| 1871724096 | Valerie Johnson-green | Registered Nurse | 1945 Corlies Ave, Neptune, NJ 07753-4859 | 2009-08-05 |
| 1124192588 | Elizabeth M Rotchford | Registered Nurse | 1945 State Route 33, Neptune, NJ 07753-4859 | 2006-11-20 |
| 1740392398 | Jessie Showers Moore | Registered Nurse | 1945 State Route 33, Neptune, NJ 07753-4859 | 2006-08-31 |
| 1871513556 | Linda J. Ballin | Registered Nurse | 1945 State Route 33, Neptune, NJ 07753-4859 | 2006-07-19 |
| 1053383794 | Nora M Roan | Registered Nurse | 3535 Route 66, Parkway 100, Neptune, NJ 07753-2622 | 2006-02-06 |
| Find all providers in NEPTUNE | ||||
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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.