Danielle Brenza, DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB07030800 Issued in NJ

Legal business name

DANIELLE BRENZA, DO LLC

Practice address

495 Oakshade Rd
Shamong, NJ 08088-9520

Phone

(609) 268-0699

Fax

(888) 268-7603

NPI assigned

May 6, 2010

Last updated

May 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Brenza, D.O.NPI 1124047253

Title

Owner

Phone

(609) 268-0699

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Brenza, D.O.

  • Family Medicine Physician
  • Sewell, NJ
  • NPI 1124047253
  Authorized official Same address or phone

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1063730620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD",
            "address_2": "SUITE 210",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544100",
            "telephone_number": "856-231-4774",
            "fax_number": "856-231-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 OAKSHADE RD",
            "city": "SHAMONG",
            "state": "NJ",
            "postal_code": "080889520",
            "telephone_number": "609-268-0699",
            "fax_number": "888-268-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE BRENZA, DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "BRENZA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-268-0699",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07030800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Specialized Living New Jersey, Inc.
• Devon Berry, AAS.HUS
• Tricia L Best, LPC
• Claire Nicole Caramanna, RD
• David Mark Carey, CPED ANAPLASTOLOGIST
• Brooke Amy Elliott, LCSW
• Stephanie Flemming, MS, RDN
• Kathleen Fox, PTA
• Megan Gardner, PT, MSPT, MHA, CLT
• Dana Marie Gibilisco, LPC

• Family Medicine Physician in Shamong, NJ
• Providers in Shamong, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.