Ali Michelle Durino, APN
Individual provider Active NPI Nurse Practitioner · Hardwick, NJ
NPI 1003390766 · NPPES record last updated Sep 19, 2018
Key facts
- NPI
- 1003390766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 26NJ00835900 (NJ)
- Practice address
- 112 Millbrook Rd
Hardwick, NJ 07825-9531 - Phone
- (973) 534-1966
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Id Care LLC
Practice addresses (Care Compare)
765 State Route 10
Randolph, NJ 07869-1925
Phone (973) 989-0068
Hospital & facility affiliations
- Ahs Hospital Corp
- Newton Medical Center
- Morristown Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.51 of 100
- Quality
- 49.12
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181212000662 | NJ | Practitioner - Nurse Practitioner | 6305180761 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00835900 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Care LLC | Current |
Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
8 Saddle Rd
Ste 203
Cedar Knolls, NJ 07927
Phone (973) 993-5950
105 Raider Blvd
Ste 101
Hillsborough, NJ 08844
Phone (908) 281-0221
765 State Route 10
Randolph, NJ 07869
Phone (973) 366-1789
49 Veronica Ave
Ste 102
Somerset, NJ 08873
Phone (732) 729-0920
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00835900 | NJ | Yes |
Addresses
Primary practice location
112 Millbrook Rd
Hardwick, NJ 07825-9531
Mailing address
112 Millbrook Rd
Hardwick, NJ 07825-9531
Phone (973) 534-1966
NPI Registry JSON
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1003390766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MILLBROOK RD",
"city": "HARDWICK",
"state": "NJ",
"postal_code": "078259531",
"telephone_number": "973-534-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MILLBROOK RD",
"city": "HARDWICK",
"state": "NJ",
"postal_code": "078259531",
"telephone_number": "973-534-1966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURINO",
"first_name": "ALI",
"middle_name": "MICHELLE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00835900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hardwick, NJ
- Oscar Coetzee
- Jessica Lynn Custer
- Kyle Fistner
- Little Hill Foundation
- Maria Satmary
- Willowglen Academy-New Jersey, Inc.
All providers in Hardwick, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.