Individual provider Active NPI

Donna C Plaxe, MSN, CPNP

  • Pediatric Nurse Practitioner
  • New Brunswick, NJ
National Provider Identifier
1396867123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NN09818900 Issued in NJ
Practice address
195 Little Albany St
The Cancer Institute of New Jersey-Pediatric Oncology
New Brunswick, NJ 08901-1914
Phone
(732) 235-5437
Fax
(732) 235-6462
NPI assigned
Apr 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NN09818900 NJ Primary

Addresses

Primary practice location

195 Little Albany St
The Cancer Institute of New Jersey-Pediatric Oncology
New Brunswick, NJ 08901-1914

Mailing address

30 Truman Ave
Princeton, NJ 08540-1699
Phone (732) 418-8075

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
I20240829001034 NJ Practitioner - Nurse Practitioner 4688113053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NN09818900NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 1, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 1, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396867123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TRUMAN AVE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401699",
            "telephone_number": "732-418-8075",
            "fax_number": "732-418-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 LITTLE ALBANY ST",
            "address_2": "THE CANCER INSTITUTE OF NEW JERSEY-PEDIATRIC ONCOLOGY",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011914",
            "telephone_number": "732-235-5437",
            "fax_number": "732-235-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAXE",
        "first_name": "DONNA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN09818900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.