Dana R Banu, MD
Individual provider Active NPI Internal Medicine Physician · Denville, NJ
NPI 1356366124 · NPPES record last updated Dec 28, 2009
Key facts
- NPI
- 1356366124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA06257400 (NJ)
- Practice address
- 16 Ponoco Road
Suite 317
Denville, NJ 07834 - Phone
- (973) 627-2650
- Fax
- (973) 627-8383
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
415 Route 24
Suite E
Chester, NJ 07930-2920
Phone (908) 879-1500
Hospital & facility affiliations
- Atlantic Visiting Nurse
- Visiting Nurse Assoc of Northern New Jersey, Inc
- Saint Clare'S Hospital/ Denville Campus
- Morristown Medical Center
- Chilton Medical Center
- Kessler Rehab Center
- Oaks at Denville, the
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050711000251 | NJ | Practitioner - Internal Medicine | 7315973500 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denville Cardiology Associates | Internal Medicine | Current | Accepting new patients |
| Provider Partners Care Management LP | Current |
Accepting new patients | |
| Consensus Medical Group LLC | 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
- dana.banu.1@18614.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06257400 | NJ | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6643809 | Medicaid | NJ | |
| IP226 | Other | NJ | OXFORD |
| 110120473 | Other | NJ | RAILROAD MEDICARE |
| 3T3821 | Other | WELLCHOICE | |
| 526293 | Other | NJ | MEDICARE ID |
Other providers in Denville, NJ
- Manu Balusu
- Cara L Banafato
- Sandeep Kumar Reddy Bandakadi
- Srinivas Reddy Bandaru
- Chitra Ravali Bandlpalli Venkata
- Edward J Barbarito
- Laura Sheila Bardach
- Barefoot Rehabilitation Clinic NJ
- Raj Barot
- Richard Lewis Barr
All providers in Denville, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.