Individual provider Active NPI

Danielle Elena Blutstein, APN

  • Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1396267035
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NR16106000 Issued in NJ
Practice address
501 Iron Bridge Rd Ste 5
Freehold, NJ 07728-5305
Phone
(732) 780-7603
Fax
(732) 308-3323
NPI assigned
Jul 14, 2017
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR16106000 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00751300 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ00751300 NJ
Nurse Practitioner 363L00000X 26NR16106000 NJ Primary

Addresses

Primary practice location

501 Iron Bridge Rd Ste 5
Freehold, NJ 07728-5305

Mailing address

5 Ocean Ave Apt 9a
Belmar, NJ 07719-2059
Phone (732) 501-5750

Other practice location 1

5 Ocean Ave Apt 9A
Belmar, NJ 07719-2059
Phone (732) 501-5750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dblutstein9970@njurology.direct-ci.com New Jersey Urology LLC

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
I20180124000333 NJ Practitioner - Nurse Practitioner 2466711205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR16106000NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Urology LLC CurrentSince Dec 1, 2019 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 743-3105

501 Iron Bridge Rd
Ste 5
Freehold, NJ 07728
Phone (732) 761-1010

3311 US Highway 1
Lawrenceville, NJ 08648
Phone (609) 716-7030

2 Princess Rd
Ste 2J
Lawrenceville, NJ 08648
Phone (609) 895-1991

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

Interoperability endpoints

  • Direct secure messaging: dblutstein424998@direct.ahsys.org
  • Direct secure messaging: dblutstein9970@njurology.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1396267035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OCEAN AVE APT 9A",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192059",
            "telephone_number": "732-501-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 IRON BRIDGE RD STE 5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285305",
            "telephone_number": "732-780-7603",
            "fax_number": "732-308-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Ocean Ave Apt 9A",
            "address_purpose": "LOCATION",
            "city": "Belmar",
            "state": "NJ",
            "postal_code": "077192059",
            "country_code": "US",
            "telephone_number": "732-501-5750",
            "fax_number": "732-501-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUTSTEIN",
        "first_name": "DANIELLE",
        "middle_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16106000",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00751300",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00751300",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR16106000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dblutstein9970@njurology.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "New Jersey Urology LLC",
            "address_1": "1515 Broad St",
            "address_2": "Suite B130",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.