Active NPI
Alyssa Dinardo Loftus, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01077400
- Practice address
- 3400 Civic Center Blvd
Philadelphia, PA 19104-5127 - Phone
- (215) 662-4000
- NPI assigned
- Jul 25, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0054150 | DE | |
| Registered Nurse | 163W00000X | 26NR20950400 | NJ | |
| Registered Nurse | 163W00000X | RN693874 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01077400 | NJ | Primary |
Addresses
Primary practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Other names 1
- Alyssa Christine Dinardo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
240 N James St
Suite 100 D
Newport, DE 19804-3167
Phone (302) 543-4425
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0054150 | DE | MD | Registered Nurse |
| RN693874 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Delaware Behavioral Health, Inc. | Current | Accepting new patients |
Locations
240 N James St
Ste 100D
Wilmington, DE 19804
Phone (302) 543-4425
240 N James St
Ste 200
Wilmington, DE 19804
Phone (302) 543-4425
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721
220 Sunset Rd
Ste 1B
Willingboro, NJ 08046
Phone (609) 835-5204
Interoperability endpoints
- alyssa.loftus.p1@direct.cfg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- Newport, DE
- NPI 1164864021
-
- Geriatric Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1346894623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-662-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTUS",
"first_name": "ALYSSA",
"middle_name": "DINARDO",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2020-12-08",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0054150",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR20950400",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN693874",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01077400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "DINARDO",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.