HADIATOU DIALLO'S PRIMARY & MENTAL CARE LLC
NPI 1780411587
Family Medicine in Jersey City, NJ

Active since September 16, 2024
97 NEWKIRK ST APT 228-229, JERSEY CITY, NJ 07306(201) 618-6623 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hadiatou Diallo's Primary & Mental Care Llc NPPES

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

HADIATOU DIALLO'S PRIMARY & MENTAL CARE LLC (NPI 1780411587) is a healthcare organization registered as a family medicine in Jersey City, New Jersey and active in the NPI registry since September 2024. The organization lists Ibrahima Diallo, Owner, as its authorized official.

NPPES Registry Identity

NPI1780411587
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHADIATOU DIALLO'S PRIMARY & MENTAL CARE LLC
Location Address97 NEWKIRK ST APT 228-229Jersey City, NJ 07306-3021
Mailing Address155 Willowbrook Blvd Ste 110Wayne, NJ 07470-7033 · (201) 618-6623
Organization SubpartNo
Authorized OfficialIbrahima DialloOwner · (201) 618-6623
Enumeration DateSeptember 16, 2024
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1780411587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
97 NEWKIRK ST APT 228-229, Jersey City, NJ 07306

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hadiatou Diallo's Primary & Mental Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Hadiatou Diallo's Primary & Mental Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1639651714
97 NEWKIRK ST APT 228-229
Jersey City, NJ 07306
(888) 551-5456
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336805415
15 17TH AVE
Newark, NJ 07103
(862) 218-5799
✔ PECOS6.7 mi
Nurse Practitioner
NPI 1336859859
745 64TH ST
Brooklyn, NY 11220
(718) 765-2520
✔ PECOS7.1 mi
Nurse Practitioner
NPI 1205306966
119 FOREST GLEN DR # 1
Highland Park, NJ 08904
(718) 406-4015
✔ PECOS25 mi
Nurse Practitioner
NPI 1760287072
55 WILLOW LN
Englishtown, NJ 07726
(732) 612-9833
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1760027692
3626 ROUTE 1 PRINCETON WOUND CARE CENTER
Princeton, NJ 08450
(609) 945-3611
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1225317373
750 ROUTE 73 S STE 205
Marlton, NJ 08053
(609) 584-2826
✔ PECOS✔ Accepts Medicare75 mi

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

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 Hadiatou Diallo's Primary & Mental Care LLC's NPI number?

The NPI number for Hadiatou Diallo's Primary & Mental Care LLC is 1780411587. It was assigned to this organization in the NPPES registry on September 16, 2024.

Where is Hadiatou Diallo's Primary & Mental Care LLC located?

Hadiatou Diallo's Primary & Mental Care LLC is located at 97 Newkirk St Apt 228-229, Jersey City, NJ 07306. The listed phone number is (201) 618-6623.

What is Hadiatou Diallo's Primary & Mental Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hadiatou Diallo's Primary & Mental Care LLC enrolled in Medicare?

Yes. Hadiatou Diallo's Primary & Mental Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hadiatou Diallo's Primary & Mental Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Hadiatou Diallo's Primary & Mental Care LLC. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hadiatou Diallo's Primary & Mental Care LLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.