Individual provider Active NPI

Danielle Giambrone Yeager, M.D.

  • Dermatology Physician
  • Wall, NJ
National Provider Identifier
1073975603
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA11129300 Issued in NJ
Practice address
3350 Highway 138 W
BLDG 2, Suite 122
Wall, NJ 07719-6130
Phone
(215) 829-5410
NPI assigned
Mar 23, 2016
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA11129300 NJ Primary

Addresses

Primary practice location

3350 Highway 138 W
BLDG 2, Suite 122
Wall, NJ 07719-6130

Mailing address

3350 Highway 138 W
BLDG 2, Suite 122
Wall, NJ 07719-6130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dyeager@uhhospitals.encitedirect.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617002548 NJ Practitioner - Dermatology 3870863939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cosulich Dermatology LLCGroup PAC ID 0446426019, 4 clinicians

Practice addresses (Care Compare)

3350 Hwy 138 W
BLDG 2 Suite 122
Wall, NJ 07719-9694
Phone (732) 280-1200

Merit-based Incentive Payment System (MIPS)

Final score
90.92 of 100Reported as group
Quality
97.01
Promoting interoperability
100
Improvement activities
40
Cost
72.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision127
Removal of tissue1-10
Removal of skin lesions279
Removal of skin cancer1000
Removal or shaving of skin growth1-10
Skin biopsy95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11129300NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cosulich Dermatology LLC Dermatology CurrentSince Jul 1, 2021 Accepting new patients
Cosulich Dermatology 2 LLC Dermatology CurrentSince Aug 10, 2026 Accepting new patients

Locations

1004 Commons Way
#G
Toms River, NJ 08755
Phone (732) 349-6868

3350 State Route 138
Ste 122
Wall Township, NJ 07719
Phone (732) 280-1200

Interoperability endpoints

  • Direct secure messaging: dyeager@cosulich.emadirect.md
  • Direct secure messaging: dyeager@uhhospitals.encitedirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1073975603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 HIGHWAY 138 W",
            "address_2": "BLDG 2, SUITE 122",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077196130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 HIGHWAY 138 W",
            "address_2": "BLDG 2, SUITE 122",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077196130",
            "telephone_number": "215-829-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "DANIELLE",
        "middle_name": "GIAMBRONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA11129300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dyeager@uhhospitals.encitedirect.com",
            "affiliation": "N",
            "address_1": "UHMG Dermatology",
            "address_2": "3000 Auburn Drive",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wall, NJ

Sources for this page

Verify at the official NPI Registry.