Individual provider Active NPI

Donna M Pizzelanti, DO

  • Family Medicine Physician
  • Bound Brook, NJ
National Provider Identifier
1306928791
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB64188 Issued in NJ
Practice address
101 E Union Ave
Bound Brook, NJ 08805-1765
Phone
(732) 560-0490
Fax
(732) 560-9681
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB64188 NJ Primary

Addresses

Primary practice location

101 E Union Ave
Bound Brook, NJ 08805-1765

Mailing address

101 E Union Ave
Bound Brook, NJ 08805-1765
Phone (732) 560-0490

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000592 NJ Practitioner - Family Practice 5395822787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlebrook Family Physicians, PAGroup PAC ID 0941259964, 2 clinicians

Practice addresses (Care Compare)

101 E Union Ave
Bound Brook, NJ 08805-1765
Phone (732) 560-0490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB64188NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlebrook Family Physicians, PA Family Medicine CurrentSince Jan 9, 2010 Accepting new patients
Your Doctors Care PA Family Medicine Current Accepting new patients

Locations

71 US Highway 206
Hillsborough, NJ 08844
Phone (908) 685-1887

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/gec4dOg2yghesFrkYuCFDQ-HfVUq5AqK/
  • Direct secure messaging: dpizzelanti59123@epicdirect.rwjbh.org

Organizations & group practices 2

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 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1306928791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051765",
            "telephone_number": "732-560-0490",
            "fax_number": "732-560-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051765",
            "telephone_number": "732-560-0490",
            "fax_number": "732-560-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZELANTI",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB64188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

Verify at the official NPI Registry.