Individual provider Active NPI

Daniela Cavallaro, NP

  • Adult Health Nurse Practitioner
  • Ridgewood, NJ
National Provider Identifier
1336692011
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00649500 Issued in NJ
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

Updated by the provider on Aug 1, 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 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 Former name

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
I20160823000935 NJ Practitioner - Nurse Practitioner 2264727734 Reassigns benefits to 3 organizations

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
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

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 Hospital, Neptune, NJ, CCN 310073
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC CurrentSince Jun 30, 2023 Accepting new patients
GPS Physician Group of New Jersey, PC CurrentSince Jan 23, 2018 Accepting new patients
Allied Digestive Health, LLC CurrentSince Jul 30, 2018 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.