Active NPI
Deena Avner
- Pediatric Pulmonology Physician
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 25MA12169300
- Practice address
- 55 Madison Ave FL 2
Morristown, NJ 07960-7337 - Phone
- (973) 971-4142
- Fax
- (973) 290-7360
- NPI assigned
- May 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 25MA12169300 | NJ | Primary |
Addresses
Primary practice location
55 Madison Ave FL 2
Morristown, NJ 07960-7337
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735
Other practice location 1
11 Overlook Rd Ste 230
Summit, NJ 07901-3580
Phone (973) 971-4142
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12169300 | NJ | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practice Associates Medical Group | Pediatrics | Current | Accepting new patients |
Locations
579 Cranbury Rd
Ste H
East Brunswick, NJ 08816
Phone (973) 971-5700
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
11 Overlook Rd
Summit, NJ 07901
Phone (908) 273-1493
11 Overlook Rd
Ste 230
Summit, NJ 07901
Phone (973) 971-4142
Interoperability endpoints
- davner527879@direct.ahsys.org
- davner843128@nychhc.direct-ci.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1265969836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "844-362-1735",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MADISON AVE FL 2",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079607337",
"telephone_number": "973-971-4142",
"fax_number": "973-290-7360"
}
],
"practiceLocations": [
{
"address_1": "11 Overlook Rd Ste 230",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013580",
"country_code": "US",
"telephone_number": "973-971-4142",
"fax_number": "973-290-7360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVNER",
"first_name": "DEENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NJ",
"license": "25MA12169300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.