Individual provider Active NPI

Danielle Healy, APRN, NP-C

  • Gerontology Nurse Practitioner
  • Ledgewood, NJ
National Provider Identifier
1003260068
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00631900 Issued in NJ
Practice address
3 Vista CT
Ledgewood, NJ 07852-2601
Phone
(201) 315-5119
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00631900 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ00631900 NJ Primary
Primary Care Nurse Practitioner 363LP2300X 26NJ00631900 NJ

Addresses

Primary practice location

3 Vista CT
Ledgewood, NJ 07852-2601

Mailing address

3 Vista CT
Ledgewood, NJ 07852-2601
Phone (201) 315-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513000698 NJ Practitioner - Nurse Practitioner 8820387988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NJ Endovascular and Amputation Prevention, LLCGroup PAC ID 2961764493, 4 clinicians

Practice addresses (Care Compare)

347 Mount Pleasant Ave
Suite 100
West Orange, NJ 07052-2745
Phone (973) 419-6315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00631900NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Endovascular & Amputation Prevention LLC CurrentSince Jul 1, 2022 Accepting new patients
Pottstown Clinic Company LLC PastSince Aug 9, 2021 Accepting new patients

Locations

347 Mount Pleasant Ave
Ste 100
West Orange, NJ 07052
Phone (973) 325-0042

347 Mount Pleasant Ave
Ste 201
West Orange, NJ 07052
Phone (973) 419-6315

182 Industrial Rd
Glen Rock, PA 17327
Phone (717) 235-9352

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBEDD/Endpoint/FBBEDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1003260068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VISTA CT",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078522601",
            "telephone_number": "201-315-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VISTA CT",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078522601",
            "telephone_number": "201-315-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "DANIELLE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00631900",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00631900",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00631900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

Verify at the official NPI Registry.