Individual provider Active NPI

Danielle Andrusko

  • Adult Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1285925313
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305635-1 Issued in NY
Practice address
5 Little Clove Rd
Staten Island, NY 10301-4304
Phone
(718) 876-9600
Fax
(718) 876-7773
NPI assigned
Apr 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305635-1 NY Primary

Addresses

Primary practice location

5 Little Clove Rd
Staten Island, NY 10301-4304

Mailing address

5 Little Clove Rd
Staten Island, NY 10301-4304
Phone (718) 876-9600

Other practice location 1

130 Rose Ave
Staten Island, NY 10306-2241
Phone (718) 980-1553

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
I20220416000175 NJ Practitioner - Nurse Practitioner 1850537002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

365 Broad St
Suite 1Wand1E
Red Bank, NJ 07701-2150
Phone (732) 842-4294

Hospital & facility affiliations

  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305635NYMDInternal Medicine Physician
F305635-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 19, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 19, 2024 Accepting new patients
Allied Digestive Health, LLC CurrentSince Jan 8, 2022 Accepting new patients
Primary Care NP in Family Health and Adult Health of New York PLLC PastSince Jan 1, 2016 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

365 Broad St
Red Bank, NJ 07701
Phone (732) 747-7077

365 Broad St
Ste 1E
Red Bank, NJ 07701
Phone (732) 842-4294

365 Broad St
Ste 1W
Red Bank, NJ 07701
Phone (732) 842-4294

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

187 State Route 36
Ste 230
West Long Branch, NJ 07764
Phone (732) 222-3805

Interoperability endpoints

  • Direct secure messaging: danielle.andrusko.1@24721.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285925313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LITTLE CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014304",
            "telephone_number": "718-876-9600",
            "fax_number": "718-876-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LITTLE CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014304",
            "telephone_number": "718-876-9600",
            "fax_number": "718-876-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Rose Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103062241",
            "country_code": "US",
            "telephone_number": "718-980-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRUSKO",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305635-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.