Elisabeth Mary Diamantopoulos, PA-C is a
Physician Assistant based in Roselle, New Jersey. Elisabeth Mary Diamantopoulos is licensed to practice in New Jersey (license number 25MP00866900) and her current practice location is
580 Raritan Rd, Roselle, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(908) 224-3333.
NPI number for Elisabeth Mary Diamantopoulos is 1376373100 and her current mailing address is 1018 Boynton Ave, Westfield, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376373100.
Provider's Profile
Full Name | Elisabeth Mary Diamantopoulos |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 580 Raritan Rd, Roselle, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376373100
- Provider Enumeration Date: 08/06/2024
- Last Update Date: 08/06/2024
Medical Identifiers
Medical identifiers for Elisabeth Mary Diamantopoulos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376373100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 031946 (New York) | Secondary |
363A00000X | Physician Assistant | 25MP00866900 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elisabeth Mary Diamantopoulos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elisabeth Mary Diamantopoulos, PA-C 1018 Boynton Ave, Westfield, NJ 07090-1692 Ph: (908) 380-2415 | Elisabeth Mary Diamantopoulos, PA-C 580 Raritan Rd, Roselle, NJ 07203-2446 Ph: (908) 224-3333 |
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