Individual provider Active NPI

Donna M Thompson, APN

  • Nurse Practitioner
  • Parsippany, NJ
National Provider Identifier
1174928980
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00517900 Issued in NJ
Practice address
3695 Hill Rd Ste 2B
Parsippany, NJ 07054-1047
Phone
(973) 658-7546
Fax
(973) 425-5683
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00517900 NJ Primary

Addresses

Primary practice location

3695 Hill Rd Ste 2B
Parsippany, NJ 07054-1047

Mailing address

3695 Hill Rd Ste 2B
Parsippany, NJ 07054-1047
Phone (973) 658-7546

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
I20160217001240 NJ Practitioner - Nurse Practitioner 1052616745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swetha Kandula MD LLCGroup PAC ID 6103168133, 2 clinicians

Practice addresses (Care Compare)

3695 Hill Rd
Suite 2B
Parsippany, NJ 07054-1047
Phone (973) 658-7546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00517900NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swetha Kandula MD LLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

3695 Hill Rd
Ste 2B
Parsippany, NJ 07054
Phone (973) 658-7546

Interoperability endpoints

  • Direct secure messaging: dthompson@directaddress.net

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1174928980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 HILL RD STE 2B",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541047",
            "telephone_number": "973-658-7546",
            "fax_number": "973-425-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 HILL RD STE 2B",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541047",
            "telephone_number": "973-658-7546",
            "fax_number": "973-425-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00517900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.