Individual provider Active NPI

Renee Trotter, APN

  • Family Nurse Practitioner
  • Haddon Heights, NJ
National Provider Identifier
1093389488
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01143300 Issued in NJ
Practice address
217 Black Horse Pike
Haddon Heights, NJ 08035-1009
Phone
(888) 982-8594
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 26NJ01143300 NJ Primary

Addresses

Primary practice location

217 Black Horse Pike
Haddon Heights, NJ 08035-1009

Mailing address

PO Box 159
Barrington, NJ 08007-0159
Phone (888) 982-8594

Other practice location 1

622 Broadway
Bayonne, NJ 07002-3821
Phone (201) 436-2800

Other practice location 2

Dr. Domonick Condo, MD
622 Broadway
Bayonne, NJ 07002
Phone (201) 436-2800

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
I20250718000537 NJ Practitioner - Nurse Practitioner 3274048772 Reassigns benefits to 1 organization

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
American Telehealth LLCGroup PAC ID 6608156906, 43 clinicians

Practice addresses (Care Compare)

217 Black Horse Pike
Haddon Heights, NJ 08035-1009
Phone (888) 982-8594

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Telehealth, LLC CurrentSince Mar 15, 2025 Accepting new patients
Dominick Condo MD PA PastSince May 1, 2021 Accepting new patients
Dominick Condo, MD PA PastSince May 1, 2021 Accepting new patients

Locations

217 Black Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 522-0639

1000 Crawford Pl
Ste 160
Mount Laurel, NJ 08054
Phone (889) 828-5948

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1093389488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080070159",
            "telephone_number": "888-982-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BLACK HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351009",
            "telephone_number": "888-982-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070023821",
            "country_code": "US",
            "telephone_number": "201-436-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Dr. Domonick Condo, MD",
            "address_2": "622 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "07002",
            "country_code": "US",
            "telephone_number": "201-436-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "RENEE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01143300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.