Individual provider Active NPI

Hazel Ann Dennison, APN-C

  • Clinical Nurse Specialist
  • Bridgeton, NJ
National Provider Identifier
1235278094
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
26NC08298100 Issued in NJ
Practice address
20 Magnolia Ave Ste a
Bridgeton, NJ 08302-1759
Phone
(856) 455-6002
Fax
(856) 455-6106
NPI assigned
Feb 6, 2007
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 26NC08298100 NJ Primary

Addresses

Primary practice location

20 Magnolia Ave Ste a
Bridgeton, NJ 08302-1759

Mailing address

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054-3917
Phone (516) 593-1380

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
26NC08298100NJMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Surgical Group, P.a Past Accepting new patients
Kidney and Hypertension Specialists, P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1235278094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ATRIUM WAY",
            "address_2": "STE 6",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543917",
            "telephone_number": "516-593-1380",
            "fax_number": "201-808-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAGNOLIA AVE STE A",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021759",
            "telephone_number": "856-455-6002",
            "fax_number": "856-455-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "HAZEL",
        "middle_name": "ANN",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NJ",
            "license": "26NC08298100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.