Individual provider Active NPI

Anne Danieles, FNP-C

  • Family Nurse Practitioner
  • Hazlet, NJ
National Provider Identifier
1285302232
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01207800 Issued in NJ
Practice address
100 Village CT Ste 302
Hazlet, NJ 07730-1559
Phone
(732) 758-0048
NPI assigned
Sep 3, 2021
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01207800 NJ Primary
Medical-Surgical Registered Nurse 163WM0705X 26NR17702900 NJ

Addresses

Primary practice location

100 Village CT Ste 302
Hazlet, NJ 07730-1559

Mailing address

100 Village CT Ste 302
Hazlet, NJ 07730-1559

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
I20231013001355 NJ Practitioner - Nurse Practitioner 3476908229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medicine Alliance PAGroup PAC ID 2668468919, 41 clinicians

Practice addresses (Care Compare)

1026 Broad St
Unit 18
Shrewsbury, NJ 07702-4380
Phone (732) 460-9840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.97 of 100Reported as group
Quality
69.67
Promoting interoperability
94
Improvement activities
40
Cost
75.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR17702900NJMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ima Urgent Care Past Accepting new patients
Gabriela M Yurkanin DPM PC PastSince Mar 5, 2023 Accepting new patients
Joy Armillay, Ed.D., R.D., LDN Past Accepting new patients
Uma Viswanathan, MD PA PastSince Dec 1, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18643/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1285302232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE CT STE 302",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE CT STE 302",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301559",
            "telephone_number": "732-758-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELES",
        "first_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01207800",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NJ",
            "license": "26NR17702900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.