Glynda Rose Daradar, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00866300 Issued in NJ

Practice address

18 Tallen Dr
Hazlet, NJ 07730-1620

Phone

(732) 264-4562

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vijay Saaraswat Medical LLCGroup PAC ID 7012157902, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vijay Saaraswat Medical LLC

  • Internal Medicine Physician
  • Hazlet, NJ
  • NPI 1124368469
  Medicare reassignment Care Compare group NPD
• Hackensack Meridian Health Medical Group - Complex Care PC

  • Internal Medicine Physician
  • Red Bank, NJ
  • NPI 1154379626
  NPD (past)
• Mana Medical LLC

  • Internal Medicine Physician
  • Hazlet, NJ
  • NPI 1215534136
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1366913626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 TALLEN DR",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301620",
            "telephone_number": "732-264-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 TALLEN DR",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301620",
            "telephone_number": "732-264-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARADAR",
        "first_name": "GLYNDA",
        "middle_name": "ROSE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00866300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D Waters and Associates LLC
• Devan Ann D'Aloia, FNP-BC
• Jennifer Lynn D'Aquila
• Shannon Dahse, MA, LPC, SAC
• Anne Danieles, FNP-C
• Darren James DPM
• Nicole B De Bonis, MSW LCSW
• Dental Wellness Center
• Elyssa Denton, LCSW
• Robyn F Derespinis, LCSW

• Nurse Practitioner in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.