Individual provider Active NPI

Yetunde Daniel

  • Internal Medicine Physician
  • Carteret, NJ
National Provider Identifier
1285895771
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050263 Issued in CT
Practice address
20 Sumutka CT
Carteret, NJ 07008-1911
Phone
(917) 575-8058
NPI assigned
Jun 18, 2008
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 050263 CT Primary

Addresses

Primary practice location

20 Sumutka CT
Carteret, NJ 07008-1911

Mailing address

20 Sumutka CT
Carteret, NJ 07008-1911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ME, NH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140909001828 PA Practitioner - Internal MedicinePractitioner - Emergency Medicine 4880869122 Reassigns benefits to 8 organizations
I20240823000175 ME Practitioner - Internal Medicine 4880869122 Reassigns benefits to 2 organizations
I20250718002713 NH Practitioner - Internal Medicine 4880869122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians
Maine Medical Services LLCGroup PAC ID 3375884216, 16 clinicians
Hospitalist Physicians of New Hampshire PCGroup PAC ID 7719397835, 6 clinicians
Pennsylvania HM Associates, PCGroup PAC ID 0547404337, 31 clinicians
Hospital Medicine Services of Maine LLCGroup PAC ID 1759621469, 34 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130
Phone (215) 538-4500

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4000

240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-7500

334 Main St
Dickson City, PA 18519-1668
Phone (507) 307-1767

57 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
050263CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Sep 1, 2021 Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Upmc Altoona CurrentSince Oct 7, 2016 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Jan 3, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Aria Health Physician Services Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Gslpg, Inc CurrentSince Jan 1, 2024 Accepting new patients
Upmc Altoona CurrentSince Oct 7, 2016 Accepting new patients
Hospital Medicine Services of Maine LLC CurrentSince Oct 1, 2024 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 3, 2017 Accepting new patients
Aria Health Physician Services Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
Pennsylvania HM Associates PC CurrentSince May 8, 2024 Accepting new patients
Hospitalist Physicians of New Hampshire PC Internal Medicine CurrentSince Jun 30, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Fairfield County Medical Services Inc Internal Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Maine Coast Regional Health Facilities Past Accepting new patients

Locations

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Interoperability endpoints

  • Direct secure messaging: upmchospitals@upmcdirect.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 7

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1285895771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUMUTKA CT",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUMUTKA CT",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081911",
            "telephone_number": "917-575-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "YETUNDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "050263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carteret, NJ

Sources for this page

Verify at the official NPI Registry.