Individual provider Active NPI

Danielle Duffy

  • Adult Health Nurse Practitioner
  • Port Washington, NY
National Provider Identifier
1104570308
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
10675 Issued in CT
Practice address
135B Main St
Port Washington, NY 11050-2801
Phone
(516) 532-4145
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 310281 NY
Adult Health Nurse Practitioner 363LA2200X 10675 CT Primary

Addresses

Primary practice location

135B Main St
Port Washington, NY 11050-2801

Mailing address

2979 Main St
Bridgeport, CT 06606-4284
Phone (203) 683-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221018001107 CT Practitioner - Nurse Practitioner 4486020377 Reassigns benefits to 1 organization
I20240515003011 NY Practitioner - Nurse Practitioner 4486020377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10675CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leonardo N Saulle MD PC Single Specialty CurrentSince May 5, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Single Specialty CurrentSince Sep 12, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 12, 2022 Accepting new patients
Premier Cardiology Consultants, PLLC Single Specialty CurrentSince May 5, 2024 Accepting new patients

Locations

2979 Main St
Bridgeport, CT 06606
Phone (203) 333-8800

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

2001 Marcus Ave
Ste E249
New Hyde Park, NY 11042

27005 76th Ave
North New Hyde Pk, NY 11040

10911 Jamaica Ave
Richmond Hill, NY 11418
Phone (516) 430-5971

Interoperability endpoints

  • Direct secure messaging: danielle.duffy@xdr.hhchealthdirect.org
  • Direct secure messaging: danielle.duffy.1@31700.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1104570308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064284",
            "telephone_number": "203-683-5100",
            "fax_number": "203-683-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135B MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502801",
            "telephone_number": "516-532-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-08-05",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310281",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "10675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

Verify at the official NPI Registry.