DIVERSE MEDICAL LLC (NPI# 1710281688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710281688 |
Entity Type | Organization |
Organization Name | DIVERSE MEDICAL LLC |
Practice Address |
515 Valley St Suite 5 Maplewood NJ 07040-1388 |
Practice Telephone | 9733272471 |
Practice Fax Number | 9733272483 |
Mailing Telephone | 9733272471 |
Enumeration Date | 2011-01-06 |
Last Update Date | 2017-01-24 |
Authorized Official Name | MS. MARILU COSCOLLUELA (OWNER) |
Authorized Official Telephone | 9733255768 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | DIVERSE MEDICAL LLC | 926 Rxr Plaza, Uniondale, New York 11556 |
Street Address |
515 VALLEY ST SUITE 5 |
City | MAPLEWOOD |
State | NJ |
Zip Code | 07040-1388 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467525691 | Andrew S Quirk | Physical Therapist | 515 Valley St, Suite 120, Maplewood, NJ 07040-1388 | 2006-11-16 |
1194055236 | Quality Caring Nj Inc. | Home Health | 515 Valley St, Maplewood, NJ 07040-1388 | 2010-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
Find all providers in zip 07040 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871066142 | Hair Chalet Multicultural Hair Designers | Prosthetic/Orthotic Supplier | 1632 Springfield Ave, Maplewood, NJ 07040-2414 | 2019-01-09 |
1316968464 | Foot Support Sales LLC | Prosthetic/Orthotic Supplier | 1845 County Road D E, Maplewood, MN 55109-5331 | 2006-07-22 |
1437196557 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 2062 Millburn Ave, Maplewood, NJ 07040 | 2006-05-31 |
1568428092 | Tillges Certified Orthotic Prosthetic, Inc. | Prosthetic/Orthotic Supplier | 1570 Beam Ave, Suite 100, Maplewood, MN 55109-1166 | 2006-04-24 |
1992286082 | Fairview Health Services | Prosthetic/Orthotic Supplier | 2945 Hazelwood St Ste 320, Maplewood, MN 55109 | 2018-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902405673 | Harry J. Lawall & Son, Inc | Prosthetic/Orthotic Supplier | 1973 Highway 34 Harry J. Lawall & Son Inc., Wall, NJ 07719-0007 | 2020-10-22 |
1639789340 | Shantise Michelle Cranial Prosthesis | Prosthetic/Orthotic Supplier | 2816 Morris Ave Ste 20b, Union, NJ 07083-4849 | 2020-08-06 |
1477185015 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1810 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-4606 | 2020-02-11 |
1568020311 | Vine Beauty Supply | Prosthetic/Orthotic Supplier | 615 Rahway Ave, Woodbridge, NJ 07095-3437 | 2019-06-05 |
1194291575 | Philadelphia Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 709 Somerdale Road, Voorhees, NJ 08043-1313 | 2018-10-23 |
1730663493 | Private Quarters Hair Salon LLC | Prosthetic/Orthotic Supplier | 12 Academy Street, South Orange, NJ 07079 | 2018-09-19 |
1053898379 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 5 Franklin Ave Ste 407, Belleville, NJ 07109-3565 | 2018-07-20 |
1104315639 | Next Step Orthopaedics, Inc. | Prosthetic/Orthotic Supplier | 26 Madison Ave Ste 5, Morristown, NJ 07960-7366 | 2018-05-10 |
1720580988 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 964 Kinderkamack Rd, River Edge, NJ 07661-2331 | 2018-03-05 |
1932612660 | Rothman Institute of New Jersey, P.a. | Prosthetic/Orthotic Supplier | 106 South Dennis Road, Building 200, Suite 200, Cape May Court House, NJ 08210 | 2017-11-16 |
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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.