Annette Eric D'Souza, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00683300 Issued in NJ

Practice address

9 Hospital Dr Ste B1
Toms River, NJ 08755-6425

Phone

(732) 363-7200

Fax

(866) 662-4129

NPI assigned

Dec 6, 2016

Last updated

Oct 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoremedical5 LLCGroup PAC ID 2769736537, 6 clinicians

Dhiren Gandhi Family Practice LLCGroup PAC ID 5496234122, 3 clinicians

Shore Medical SpecialistsGroup PAC ID 2062433030, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
• Community Medical Center Hospital, Toms River, NJ, CCN 310041
• Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• Dhiren Gandhi Family Practice LLC

  • Family Medicine Physician
  • Little Egg Harbor TWP, NJ
  • NPI 1942162151
  Medicare reassignment Care Compare group NPD
• Shore Medical Specialists

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1134217417
  Medicare reassignment Care Compare group NPD
• Shoremedical5 LLC

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1962981944
  Medicare reassignment Care Compare group NPD
• Rekha Gohel MD LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Manalapan, NJ
  • NPI 1912352642
  Medicare reassignment
• Rgohel LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Freehold, NJ
  • NPI 1902388960
  Medicare reassignment
• Dhiren Gandhi MD LLC

  • Family Medicine Physician
  • Little Egg Harbor, NJ
  • NPI 1811902240
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Whiting, NJ
  • NPI 1609264597
  Care Compare affiliation
• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation
• HMH Hospitals Corporation

  dba HMH Behavioral Health Home

  • Clinic/Center
  • Neptune, NJ
  • NPI 1053880286

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  dba Jersey Shore University Medical Center

  • General Acute Care Hospital
  • Neptune, NJ
  • NPI 1790297547
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Neptune City, NJ
  • NPI 1962128496

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1407390735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-363-7200",
            "fax_number": "866-662-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-363-7200",
            "fax_number": "866-662-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "ANNETTE",
        "middle_name": "ERIC",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00683300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0546691",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2797003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bozena Czekalski, APN
• Kenneth Czenis, OT
• Mordechai Czermak
• Christopher D'Alterio, OD
• Suzanne D'Arcangelo, M.A., CCC-SLP
• Janet L Dacunza, PT
• Kevin Dager, MD
• Cheryl Ann Dahl-Monahan, LPC
• Monica Daigbe
• Kristyn Jessica Dale, MD

• Gerontology Nurse Practitioner in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.