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Diana Rae Goldstein

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

254 Easton Ave, New Brunswick, NJ 08901-1766

PECOS Enrollment

This provider is enrolled in PECOS as DIANA GOLDSTEIN.

Based on the most recent information from CMS, provider Diana Rae Goldstein is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1659856995
Provider Type
Individual
Full Name
Goldstein, Diana Rae
Title
Mrs.
Credential
MSN, APN, FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/2/2018
Last Updated
10/2/2018

Contact Information

Practice Location

254 Easton Ave, New Brunswick, NJ 08901-1766

(732) 745-8525

Unlisted Fax

Mailing Location

254 Easton Ave, New Brunswick, NJ 08901-1766

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NJ00863500 New Jersey

Diana Rae Goldstein

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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