DIVERSE MEDICAL LLC


Address: 515 Valley St, Suite 5, Maplewood, NJ 07040-1388
Phone: 9733272471

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations DIVERSE MEDICAL LLC 926 Rxr Plaza, Uniondale, New York 11556

Office Location

Street Address 515 VALLEY ST
SUITE 5
City MAPLEWOOD
State NJ
Zip Code 07040-1388

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City MAPLEWOOD
Zip Code 07040

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Dataset Information

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.

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