Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Diane Gillum, M.D
Surgery Physician in Camden, NJ · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1174511091
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Registry record
Entity type Individual (Type 1)
Name Dr. Diane Gillum
Credential M.D
Sex Female
Practice address 2 Cooper Plaza, 400 Haddon Ave, Camden, NJ, 08103
Phone (855) 632-2667
Enumeration date Oct 13, 2005
Last updated in NPPES Oct 5, 2020
Taxonomy & licenses
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 25MA04930700 (NJ) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2395207 | Medicaid | NJ | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1174511091 active?
Yes, as of the latest NPPES snapshot, NPI 1174511091 is active (record last updated 2020-10-05).
How do I verify Diane Gillum's NPI record?
Cross-check NPI 1174511091 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-05.