Ms Diane Stark Suda, MSW is a medicare enrolled "Registered Nurse" provider in Waldwick, New Jersey. Her current practice location is
10 Franklin Turnpike, Second Floor, Waldwick, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 612-0550.
Ms Diane Stark Suda is licensed to practice in New Jersey (license number 26NR03997100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720102239.
Healthcare Provider's Profile
| Full Name | Ms Diane Stark Suda |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 10 Franklin Turnpike, Waldwick, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720102239
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082655378
- Enrollment ID: I20050517000699
Medical Identifiers
Medical identifiers for Ms Diane Stark Suda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720102239 | NPI | - | NPPES |
| P00114374 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 44SC00190100 (New Jersey) | Secondary |
| 163W00000X | Registered Nurse | 26NR03997100 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Diane Stark Suda is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Diane Stark Suda, MSW 19 Shadyside Drive, Wyckoff, NJ 07481 Ph: (201) 891-5148 | Ms Diane Stark Suda, MSW 10 Franklin Turnpike, Second Floor, Waldwick, NJ 07463 Ph: (201) 612-0550 |
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