Individual provider Active NPI

Dana R Banu, MD

  • Internal Medicine Physician
  • Denville, NJ
National Provider Identifier
1356366124
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06257400 Issued in NJ
Practice address
16 Ponoco Road
Suite 317
Denville, NJ 07834
Phone
(973) 627-2650
Fax
(973) 627-8383
NPI assigned
Jul 13, 2006
Last updated
Dec 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06257400 NJ Primary

Addresses

Primary practice location

16 Ponoco Road
Suite 317
Denville, NJ 07834

Mailing address

16 Ponoco Road
Suite 317
Denville, NJ 07834
Phone (973) 627-2650

Other identifiers 5

IdentifierTypeStateIssuer
526293OtherNJMEDICARE ID
6643809MedicaidNJ
IP226OtherNJOXFORD
110120473OtherNJRAILROAD MEDICARE
3T3821OtherWELLCHOICE

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
I20050711000251 NJ Practitioner - Internal Medicine 7315973500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

415 Route 24
Suite E
Chester, NJ 07930-2920
Phone (908) 879-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince May 1, 2025 Accepting new patients
Consensus Medical Group LLC Internal Medicine CurrentSince Nov 19, 2021 Accepting new patients
Denville Cardiology Associates Internal Medicine Current Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

415 Route 24
Ste E
Chester, NJ 07930
Phone (908) 879-1500

16 Pocono Rd
Denville, NJ 07834
Phone (973) 625-5651

16 Pocono Rd
Ste 317
Denville, NJ 07834
Phone (973) 627-2650

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

174 Edison Rd
Lk Hopatcong, NJ 07849
Phone (973) 663-1300

170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540

33 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 383-2971

Interoperability endpoints

  • Direct secure messaging: dana.banu.1@18614.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1356366124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PONOCO ROAD",
            "address_2": "SUITE 317",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-627-2650",
            "fax_number": "973-627-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PONOCO ROAD",
            "address_2": "SUITE 317",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-627-2650",
            "fax_number": "973-627-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANU",
        "first_name": "DANA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06257400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "526293",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6643809",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "IP226",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110120473",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICE",
            "identifier": "3T3821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.