Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Diana M. McKenney, PA

Individual provider Physician Assistant · NPI 1700194958

Mrs. Diana M. McKenney, PA is a Physician Assistant in Neptune, New Jersey. Qualified in 2010, 16 years ago. Practices with Coastal Ear Nose and Throat LLC, a 19-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
16
Licensed in
NJ
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3700 Route 33 Ste 101
Neptune, NJ 07753
Phone: (732) 280-7855
Fax: (732) 280-7815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00241400 (NJ)

Record details

NPI number1700194958
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 22, 2010
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Coastal Ear Nose And Throat Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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