Individual provider Active NPI

Dana L. Inzeo, NP

  • Adult Health Nurse Practitioner
  • Whippany, NJ
National Provider Identifier
1245214170
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302379 Issued in NY
Practice address
375 Route 10
Whippany, NJ 07981-2115
Phone
(973) 210-3838
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00078500 NJ
Adult Health Nurse Practitioner 363LA2200X F302379 NY Primary

Addresses

Primary practice location

375 Route 10
Whippany, NJ 07981-2115

Mailing address

7 Virginia St
New City, NY 10956-3024
Phone (458) 721-3790

Other identifiers 1

IdentifierTypeStateIssuer
02693525MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051210000046 NY Practitioner - Nurse Practitioner 9830137090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Omar Osman MD PLLCGroup PAC ID 1355716812, 13 clinicians

Practice addresses (Care Compare)

32 Cedar LN
Ossining, NY 10562-2402
Phone (914) 762-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00078500NJMDAdult Health Nurse Practitioner
F302379NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vytaliz Medical CurrentSince Mar 1, 2022 Accepting new patients
Omar Osman MD PLLC CurrentSince Sep 3, 2023 Accepting new patients
Supportive Medical Partners, PLLC CurrentSince Mar 16, 2015 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

150 Bennett Rd
Cheektowaga, NY 14227
Phone (716) 686-8460

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

Organizations & group practices 3

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1245214170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VIRGINIA ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563024",
            "telephone_number": "458-721-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROUTE 10",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812115",
            "telephone_number": "973-210-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INZEO",
        "first_name": "DANA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00078500",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02693525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

Verify at the official NPI Registry.