Active NPI
Dana M. Rivers-Heath, NP
- Registered Nurse
- Fair Lawn, NJ
National Provider Identifier
1124420039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 561958-1
- Practice address
- 2-22 Hartley Place
Fair Lawn, NJ 07410-3047 - Phone
- (201) 797-0741
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 561958-1 | NY | Primary |
| Nurse Practitioner | 363L00000X | 338065 | NY |
Addresses
Primary practice location
2-22 Hartley Place
Fair Lawn, NJ 07410-3047
Mailing address
2-22 Hartley Place
Fair Lawn, NJ 07410-3047
Phone (201) 797-0741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 561958-1 | NY | MD | Registered Nurse |
| 338065 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1124420039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2-22 HARTLEY PLACE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103047",
"telephone_number": "201-797-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2-22 HARTLEY PLACE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103047",
"telephone_number": "201-797-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS-HEATH",
"first_name": "DANA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "561958-1",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "338065",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.