Active NPI
Daniela Cavallaro, NP
- Adult Health Nurse Practitioner
- Ridgewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00649500
- Practice address
- 330 Franklin Tpke
Ridgewood, NJ 07450 - Phone
- (201) 447-1900
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00649500 | NJ | Primary |
Addresses
Primary practice location
330 Franklin Tpke
Ridgewood, NJ 07450
Mailing address
330 Franklin Tpke
Ridgewood, NJ 07450-1932
Phone (201) 447-1900
Other names 1
- Daniela Kofman
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 Davis Ave
FL 6
Neptune, NJ 07753-4488
Phone (732) 897-3990
985 Cedar Bridge Ave
Brick, NJ 08723-4167
Phone (732) 477-5600
Hospital & facility affiliations
- Jersey Shore University Medical Center
- JFK University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Current | Accepting new patients | |
| GPS Physician Group of New Jersey, PC | Current | Accepting new patients | |
| Allied Digestive Health, LLC | Current | Accepting new patients | |
| Atlantic Coast Gastroenterology Associates | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600
19 Davis Ave
Fl 6
Neptune, NJ 07753
Phone (732) 897-3990
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
249 High St
Newton, NJ 07860
Phone (855) 699-6312
1907 Highway 35
Ste 1A
Oakhurst, NJ 07755
Phone (732) 517-0060
843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627
330 Franklin Tpke
Ridgewood, NJ 07450
Phone (201) 447-1900
1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090
1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220
Interoperability endpoints
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- Geriatric Medicine (Internal Medicine) Physician
- Voorhees, NJ
- NPI 1548776008
-
- Gastroenterology Physician
- Brick, NJ
- NPI 1679512578
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1336692011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 FRANKLIN TPKE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074501932",
"telephone_number": "201-447-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 FRANKLIN TPKE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "07450",
"telephone_number": "201-447-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALLARO",
"first_name": "DANIELA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00649500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELA",
"last_name": "KOFMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.