Individual provider Active NPI

Olanda R Dreher

  • Primary Care Nurse Practitioner
  • Pleasantville, NJ
National Provider Identifier
1144530361
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00765800 Issued in NJ
Practice address
400 W Black Horse Pike
Pleasantville, NJ 08232-2636
Phone
(609) 641-1118
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00765800 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00765800 NJ Primary

Addresses

Primary practice location

400 W Black Horse Pike
Pleasantville, NJ 08232-2636

Mailing address

400 W Black Horse Pike
Pleasantville, NJ 08232-2636

Other practice location 1

2250 Hickory Road
Plymouth Meeting, PA 19462
Phone (610) 834-1122

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
I20180110000914 NJ Practitioner - Nurse Practitioner 5496014888 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Clinical LTC Associates of New Jersey Primary Care CurrentSince Jul 20, 2021 Accepting new patients
Medical Service Professionals of NJ LLC CurrentSince Aug 9, 2024 Accepting new patients
Live Urgent Care LLC CurrentSince May 31, 2022 Accepting new patients
Meditelecare of New Jersey LLC CurrentSince Aug 15, 2022 Accepting new patients

Locations

11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270

363 W Browning Rd
Unit A
Bellmawr, NJ 08031
Phone (856) 333-3616

425 Woodbury Turnersville Rd
Blackwood, NJ 08012
Phone (856) 374-6500

30 Montgomery St
Fl 15
Jersey City, NJ 07302
Phone (551) 247-1029

125 Chubb Ave
Ste 100S
Lyndhurst, NJ 07071
Phone (201) 559-7600

255 E Main St
Moorestown, NJ 08057
Phone (856) 222-0248

780 New Brunswick Rd
Somerset, NJ 08873
Phone (732) 653-3000

Interoperability endpoints

  • Direct secure messaging: olanda.dreher.p1@direct.cfg.nextgenshare.com
  • Direct secure messaging: olanda.dreher.1@24114.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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1144530361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322636",
            "telephone_number": "609-641-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Hickory Road",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "19462",
            "country_code": "US",
            "telephone_number": "610-834-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREHER",
        "first_name": "OLANDA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00765800",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00765800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.