Active NPI
Danielle M Carroll, MD
- Family Medicine Physician
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 289122
- Practice address
- 8906 135TH St
Suite 3D
Jamaica, NY 11418-2821 - Phone
- (718) 206-6919
- NPI assigned
- Feb 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 289122 | NY | Primary |
Addresses
Primary practice location
8906 135TH St
Suite 3D
Jamaica, NY 11418-2821
Mailing address
8906 135TH St
Suite 3D
Jamaica, NY 11418-2821
Phone (718) 206-6919
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Warren Alpert Medical School of Brown University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276
9120 Atlantic Ave
Ozone Park, NY 11416-1527
Phone (718) 641-8207
Hospital & facility affiliations
- Jamaica Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.19 of 100
- Quality
- 82.16
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 75.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289122 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Empire Gate Medical P.C. | Family Medicine | Current | Accepting new patients |
| TJH Medical Services, P.C. | Family Medicine | Current | Accepting new patients |
| Jamaica Hospital Medical Center | Past | Accepting new patients |
Locations
8810 Parsons Blvd
Jamaica, NY 11432
Phone (718) 291-7111
11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839
9120 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 322-1580
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- daniellecarroll@mai.allscriptsdirect.net
- dcarroll30318@direct.medisys.org
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Ambulatory Family Planning Facility
- Richmond Hill, NY
- NPI 1134376254
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1265824684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8906 135TH ST",
"address_2": "SUITE 3D",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182821",
"telephone_number": "718-206-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8906 135TH ST",
"address_2": "SUITE 3D",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182821",
"telephone_number": "718-206-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "DANIELLE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-22",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "289122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.