Individual provider Active NPI

Julie Michelle Daly

  • Family Nurse Practitioner
  • Newport, NJ
National Provider Identifier
1316372964
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00463300 Issued in NJ
Practice address
424 Baptist Rd
Newport, NJ 08345-2109
Phone
(856) 207-4380
NPI assigned
Sep 13, 2013
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00463300 NJ Primary

Addresses

Primary practice location

424 Baptist Rd
Newport, NJ 08345-2109

Mailing address

424 Baptist Rd
Newport, NJ 08345-2109
Phone (856) 207-4380

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
I20180628002098 NJ Practitioner - Nurse Practitioner 6800142118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Practice addresses (Care Compare)

206 Bergen Ave
Suite 207
Kearny, NJ 07032-3387
Phone (631) 534-7246

994 W Sherman Ave
Vineland, NJ 08360-6937

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00463300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Vascular, LLC CurrentSince Dec 9, 2023 Accepting new patients

Locations

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1316372964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BAPTIST RD",
            "city": "NEWPORT",
            "state": "NJ",
            "postal_code": "083452109",
            "telephone_number": "856-207-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 BAPTIST RD",
            "city": "NEWPORT",
            "state": "NJ",
            "postal_code": "083452109",
            "telephone_number": "856-207-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "JULIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00463300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, NJ

Sources for this page

Verify at the official NPI Registry.