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DR. ERIK DIENNA M.D.
NPI 1003109893
Pediatrics in West Orange, NJ

Active since May 26, 2011PECOS Enrolled
745 NORTHFIELD AVE STE 7, WEST ORANGE, NJ 07052(973) 243-0002(855) 274-7153 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2023, Dec 27, 2018 (2 updates tracked since 2018).

About Dr. Erik Dienna M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIK DIENNA M.D. (NPI 1003109893) is an individual pediatrics provider in West Orange, New Jersey, licensed in New Jersey (25MA09966600) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003109893
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ERIK DIENNACredential: M.D.
Location Address745 NORTHFIELD AVE STE 7West Orange, NJ 07052-1136
Mailing Address401 Route 73 N Bldg 10, Suite 320Marlton, NJ 08053 · (973) 243-0002 · Fax (855) 274-7153
Phone(973) 243-0002
Fax(855) 274-7153
Sole ProprietorNo
Enumeration DateMay 26, 2011
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1003109893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA09966600
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
745 NORTHFIELD AVE STE 7, West Orange, NJ 07052
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Erik Dienna M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Erik Dienna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocare, LLC
69 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLA YASMEEN RAHNI PA-C
Physician Assistant
745 NORTHFIELD AVE STE 7
WEST ORANGE, NJ 07052
Essex County (973) 243-0002
KINTIROGLOU PEDIATRICS LLC
Pediatrics
745 NORTHFIELD AVE STE 7
WEST ORANGE, NJ 07052
Essex County (973) 243-0002
DR. ELINA NACHEVNIK M.D.
Pediatrics
745 NORTHFIELD AVE STE 7
WEST ORANGE, NJ 07052
Essex County (973) 243-0002
CHRISTINA YICK DOOLEY M.D.
Pediatrics
745 NORTHFIELD AVE STE 7
WEST ORANGE, NJ 07052
Essex County (973) 243-0002
ADVOCARE , LLC
Pediatrics
745 NORTHFIELD AVE STE 7
WEST ORANGE, NJ 07052
Essex County (973) 243-0002
DR. CARMEN H LEBRON MD
Pediatrics
745 NORTHFIELD AVE STE 7
WEST ORANGE, NJ 07052
Essex County (973) 243-0002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erik Dienna's NPI number?

The NPI number for Erik Dienna is 1003109893. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Erik Dienna located?

Erik Dienna practices at 745 Northfield Ave Ste 7, West Orange, NJ 07052. The listed phone number is (973) 243-0002.

What is Erik Dienna's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Erik Dienna enrolled in Medicare?

Yes. Erik Dienna is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erik Dienna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Dienna reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erik Dienna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erik Dienna was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.