Individual provider Active NPI

Danielle Francesca Fortini, PA-C

  • Medical Physician Assistant
  • Ledgewood, NJ
National Provider Identifier
1255006557
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00642300 Issued in NJ
Practice address
501 State Route 10
Ledgewood, NJ 07852-9667
Phone
(973) 584-6751
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00642300 NJ Primary

Addresses

Primary practice location

501 State Route 10
Ledgewood, NJ 07852-9667

Mailing address

98 Hillside Rd
Sparta, NJ 07871-2015
Phone (862) 219-8111

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
I20211011000216 NJ Practitioner - Physician Assistant 4789082439 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

33 Newton Sparta Rd
Suite 1
Newton, NJ 07860-2764
Phone (973) 383-2244

706 Bergen Ave
Suite 2
Jersey City, NJ 07306-4802
Phone (201) 464-8888

781 State Route 15 S
Suite B
Lake Hopatcong, NJ 07849-2339
Phone (862) 299-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00642300NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Feb 5, 2026 Accepting new patients
Skylands Medical Group, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: danielle.fortini.1@18614.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1255006557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 HILLSIDE RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712015",
            "telephone_number": "862-219-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STATE ROUTE 10",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529667",
            "telephone_number": "973-584-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTINI",
        "first_name": "DANIELLE",
        "middle_name": "FRANCESCA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00642300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

Verify at the official NPI Registry.