Individual provider Active NPI

Danielle J Nardone, DO

  • Internal Medicine Physician
  • Fair Haven, NJ
National Provider Identifier
1407838543
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
569 River Rd
Fair Haven, NJ 07704-3262
Phone
(732) 530-0100
Fax
(732) 530-5895
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NJ Primary

Addresses

Primary practice location

569 River Rd
Fair Haven, NJ 07704-3262

Mailing address

PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840

Other identifiers 7

IdentifierTypeStateIssuer
2K2505OtherNJHEALTH NET
8484902MedicaidNJ
P1953567OtherNJOXFORD
1949222OtherNJUNITED HEALTHCARE
2231307OtherAETNA HMO
3228922OtherNJCIGNA
11S471OtherNYEMPIRE BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000139 NJ Practitioner - Internal Medicine 6204017528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB6712700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 1, 2022 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I Current Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 1, 2022 Accepting new patients
Ima Urgent Care Past Accepting new patients
Jersey Shore Associates in Internal Medicine of Marlboro, P.C. Internal Medicine Past Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

188 E Bergen Pl
Ste 302
Red Bank, NJ 07701
Phone (732) 219-6620

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1407838543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8519",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077018519",
            "telephone_number": "732-460-9840",
            "fax_number": "732-460-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 RIVER RD",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043262",
            "telephone_number": "732-530-0100",
            "fax_number": "732-530-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDONE",
        "first_name": "DANIELLE",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K2505",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8484902",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1953567",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1949222",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2231307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3228922",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "11S471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Haven, NJ

Sources for this page

Verify at the official NPI Registry.