Individual provider Active NPI

Heather Daniels, APN

  • Family Nurse Practitioner
  • Perth Amboy, NJ
National Provider Identifier
1245880152
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00959400 Issued in NJ
Practice address
275 Hobart St
Perth Amboy, NJ 08861-3396
Phone
(732) 376-9333
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 26NJ00959400 NJ Primary

Addresses

Primary practice location

275 Hobart St
Perth Amboy, NJ 08861-3396

Mailing address

532 Sloan CT
Matawan, NJ 07747-4715
Phone (732) 239-4665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, CT, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191219000094 NJ Practitioner - Nurse Practitioner 7113351495 Reassigns benefits to 2 organizations
I20231012003359 NY Practitioner - Nurse Practitioner 7113351495 Reassigns benefits to 1 organization
I20250320003012 CT Practitioner - Nurse Practitioner 7113351495 Reassigns benefits to 1 organization
I20250324003333 WA Practitioner - Nurse Practitioner 7113351495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

14 -20 Prospect St
East Orange, NJ 07017-2238
Phone (973) 672-2025

152 Campmeeting Rd
Bolton, CT 06043-7528

275 Hobart St
Perth Amboy, NJ 08861-3396
Phone (732) 376-6635

32275 32ND Ave S
Federal Way, WA 98001-9616
Phone (720) 703-5293

3525 White Plains Rd
Bronx, NY 10467-5705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13659CTMDOrthopedic Physical Therapist
26NJ00959400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Medical Center, Inc CurrentSince Oct 27, 2019 Accepting new patients
Villagehealth DM LLC CurrentSince Jan 10, 2022 Accepting new patients
Central Jersey Medical Center, Inc. CurrentSince Oct 27, 2019 Accepting new patients
Central Jersey Medical Center, Inc. Past Accepting new patients

Locations

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

14-20 Prospect St
East Orange, NJ 07017
Phone (720) 631-1142

80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592

275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635

3525 White Plains Rd
Bronx, NY 10467

32275 32nd Ave S
Federal Way, WA 98001
Phone (206) 420-5325

Interoperability endpoints

  • Direct secure messaging: heather.daniels.1@16647.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1245880152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SLOAN CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474715",
            "telephone_number": "732-239-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOBART ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613396",
            "telephone_number": "732-376-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "HEATHER",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00959400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.