Individual provider Active NPI

Joanna Marie Disalvo, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Westwood, NJ
National Provider Identifier
1174039218
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00792300 Issued in NJ
Practice address
390 Old Hook Rd Ste 101
Westwood, NJ 07675-2622
Phone
(201) 857-5620
Fax
(201) 857-5562
NPI assigned
Dec 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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 26NJ00792300 NJ Primary

Addresses

Primary practice location

390 Old Hook Rd Ste 101
Westwood, NJ 07675-2622

Mailing address

390 Old Hook Rd Ste 101
Westwood, NJ 07675-2622
Phone (201) 857-5620

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
I20180214001863 NJ Practitioner - Nurse Practitioner 3577823442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westwood Dermatology and Dermatologic Surgery Group, PAGroup PAC ID 1456393180, 9 clinicians

Practice addresses (Care Compare)

390 Old Hook Rd
West Wood, NJ 07675-2600
Phone (201) 666-9550

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
99.36
Promoting interoperability
100
Improvement activities
40
Cost
79.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Dermatology and Dermatologic Surgery Group, PA CurrentSince Jan 2, 2018 Accepting new patients

Locations

390 Old Hook Rd
Ste 101
Westwood, NJ 07675
Phone (201) 857-5620

390 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-0707

Organizations & group practices 1

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": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1174039218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 OLD HOOK RD STE 101",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752622",
            "telephone_number": "201-857-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 OLD HOOK RD STE 101",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752622",
            "telephone_number": "201-857-5620",
            "fax_number": "201-857-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISALVO",
        "first_name": "JOANNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00792300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.