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

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (119 clinicians)

Practice addresses (Care Compare)

765 State Route 10
Randolph, NJ 07869-1925
Phone (973) 989-0068

Hospital & facility affiliations

  • Ahs Hospital Corp Hospital · Hackettstown, NJ · CCN 310115
  • Newton Medical Center Hospital · Newton, NJ · CCN 310028
  • Morristown Medical Center Hospital · Morristown, NJ · CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20181212000662 NJ Practitioner - Nurse Practitioner 6305180761 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00835900NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Id Care LLC Current
since Aug 1, 2019
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2018.

{
    "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

All providers in Hardwick, NJ · Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.