DIANA PICHARDO DNP
NPI 1205422607
Nurse Practitioner in Perth Amboy, NJ

Q: What is Diana Pichardo's NPI number?

The NPI number for Diana Pichardo is 1205422607. It was assigned to this individual provider in the NPPES registry on December 19, 2020.

Q: What is Diana Pichardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Pichardo was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 19, 2020PECOS EnrolledAccepts Medicare Assignment

1107 CONVERY BLVD, PERTH AMBOY, NJ 08861(732) 896-9962 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 19, 2022, Dec 19, 2020 (2 updates tracked since 2020).

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About Diana Pichardo Dnp NPPES

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

DIANA PICHARDO DNP (NPI 1205422607) is an individual nurse practitioner in Perth Amboy, New Jersey, licensed in New Jersey (26NJ01060900) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains a secondary practice location in East Brunswick.

NPPES Registry Identity

NPI1205422607

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDIANA PICHARDOCredential: DNP

Location Address1107 CONVERY BLVDPerth Amboy, NJ 08861-1937

Mailing Address74 Ryders LnEast Brunswick, NJ 08816-1328

Phone(732) 896-9962

Sole ProprietorYes

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2020

Enumeration DateDecember 19, 2020

Last NPPES UpdateMay 19, 20222 updates tracked since enumeration

NPPES CertifiedMay 19, 2022

✔ NPI 1205422607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NJ · 26NJ01060900

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1107 CONVERY BLVD, Perth Amboy, NJ 08861

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Secondary Practice Location 1

Location 174 Ryders LnEast Brunswick, NJ 08816-1328 · Phone (732) 322-8228

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Diana Pichardo Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860801271

PECOS Enrollment IDI20210513002808

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310010

LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08861 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 5

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

PRABHJOT KAUR FNP-C

Nurse Practitioner (Family)