Danielle Brenza, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB07030800 Issued in NJ

Practice address

11 Parke Place Blvd
Suite a
Sewell, NJ 08080-2664

Phone

(856) 218-4848

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Emergency Physician Services LLC

  • Emergency Medicine Physician
  • Woodbury, NJ
  • NPI 1588699581
  NPD (past)
• Eps Billing, LLC

  • Physician Assistant
  • Woodbury, NJ
  • NPI 1568497543
  NPD (past)
• Ultra Sound Solutions LLC

  • Clinical Medical Laboratory
  • Shamong, NJ
  • NPI 1356541825
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1124047253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD",
            "address_2": "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": "11 PARKE PLACE BLVD",
            "address_2": "SUITE A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802664",
            "telephone_number": "856-218-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENZA",
        "first_name": "DANIELLE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB70308",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07030800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "90000011100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2138629000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "222137644",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNJ",
            "identifier": "222137644",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Bragg
• Charlene A Bramble, M.D.
• Morgan Brasch
• Breastmade LLC
• Heather Clare Brecht, RN
• Howard Bresalier, D.O.
• Brilliant Behavioral Health LLC
• Inayah Bristol, M.ED
• Broderick Family Chiropractic, PC
• Joseph Anthony Broderick Jr., D.C.

• Family Medicine Physician in Sewell, NJ
• Providers in Sewell, 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 Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.