Individual provider Active NPI

Carol Anna Dinnocenzio, DNP, APN

  • Family Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1023629920
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01046700 Issued in NJ
Practice address
2 Lincoln Hwy Ste 301
Edison, NJ 08820-3904
Phone
(732) 549-7380
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01046700 NJ Primary

Addresses

Primary practice location

2 Lincoln Hwy Ste 301
Edison, NJ 08820-3904

Mailing address

53 S 18TH St
Kenilworth, NJ 07033-1601
Phone (732) 221-4492

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
I20200929000062 NJ Practitioner - Nurse Practitioner 6709205503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7901

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Dec 24, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Dec 24, 2023 Accepting new patients
Pulmonary Internists, P.a. CurrentSince Aug 14, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

2048 Oak Tree Rd
Edison, NJ 08820
Phone (732) 906-2100

2 State Route 27
Ste 301
Edison, NJ 08820
Phone (732) 549-7380

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3 Hospital Plz
Ste 205
Old Bridge, NJ 08857
Phone (732) 360-2255

530 New Brunswick Ave
Fl 4
Perth Amboy, NJ 08861
Phone (848) 309-1436

Interoperability endpoints

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

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1023629920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S 18TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331601",
            "telephone_number": "732-221-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY STE 301",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203904",
            "telephone_number": "732-549-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINNOCENZIO",
        "first_name": "CAROL",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DNP, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01046700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.