DIVERSE MEDICAL LLC
NPI 1710281688
Prosthetic/Orthotic Supplier in Maplewood, NJ

Active since January 06, 2011
515 VALLEY ST, SUITE 5, MAPLEWOOD, NJ 07040(973) 327-2471(973) 327-2483 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diverse Medical Llc NPPES

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

DIVERSE MEDICAL LLC (NPI 1710281688) is a healthcare organization registered as a prosthetic/orthotic supplier in Maplewood, New Jersey and active in the NPI registry since January 2011. The organization lists Marilu Coscolluela, Owner, as its authorized official.

NPPES Registry Identity

NPI1710281688
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameDIVERSE MEDICAL LLC
Location Address515 VALLEY ST, SUITE 5Maplewood, NJ 07040-1388
Mailing Address515 Valley St, Suite 5Maplewood, NJ 07040-1388 · (973) 327-2471
Fax(973) 327-2483
Organization SubpartNo
Authorized OfficialMarilu CoscolluelaOwner · (973) 325-5768
Enumeration DateJanuary 6, 2011
Last NPPES UpdateJanuary 24, 2017
NPI 1710281688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
515 VALLEY ST, Maplewood, NJ 07040

Other Identifiers 1

Medicare NSC6471120001NJ

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Diverse Medical LLC carries, from the Medicare DMEPOS supplier directory.

Diverse Medical LLC

DMEPOS supplier · Maplewood, NJ

Does not accept Medicare assignment

Diverse Medical LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20539799
Medicare Participant SinceAugust 19, 2010
Supplier Location515 Valley Street Suite 5Maplewood, NJ 07040
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

Home Health
515 VALLEY ST
MAPLEWOOD, NJ 07040
Nurse Practitioner (Psychiatric/Mental Health)
515 VALLEY ST
MAPLEWOOD, NJ 07040
Counselor (Professional)
515 VALLEY ST
MAPLEWOOD, NJ 07040
Physical Therapist
515 VALLEY ST, SUITE 120
MAPLEWOOD, NJ 07040

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 Diverse Medical LLC's NPI number?

The NPI number for Diverse Medical LLC is 1710281688. It was assigned to this organization in the NPPES registry on January 6, 2011.

Where is Diverse Medical LLC located?

Diverse Medical LLC is located at 515 Valley St Suite 5, Maplewood, NJ 07040. The listed phone number is (973) 327-2471.

What is Diverse Medical LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Diverse Medical LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Diverse Medical LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Diverse Medical LLC was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.