Individual provider Active NPI

Michelle Marion D'Amato, APN

  • Primary Care Nurse Practitioner
  • Passaic, NJ
National Provider Identifier
1417611682
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01117000 Issued in NJ
Practice address
335 Passaic St
Passaic, NJ 07055-5818
Phone
(973) 358-5500
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01117000 NJ Primary

Addresses

Primary practice location

335 Passaic St
Passaic, NJ 07055-5818

Mailing address

335 Passaic St
Passaic, NJ 07055-5818
Phone (973) 358-5500

Other practice location 1

606 Broadway
Paterson, NJ 07514-1916
Phone (973) 523-1800

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
I20220202002404 NJ Practitioner - Nurse Practitioner 2769875343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allhealthmedicalgroup Com PCGroup PAC ID 1456746692, 28 clinicians

Practice addresses (Care Compare)

428 Union Ave
Paterson, NJ 07502-1927
Phone (551) 309-3555

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
99.16
Improvement activities
40
Cost
72.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01117000NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allhealthmedicalgroup Com PC CurrentSince Jun 26, 2023 Accepting new patients
G&S Medical Associates LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

700 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 568-3412

357 Prospect Ave
Hackensack, NJ 07601
Phone (866) 567-3633

83 Summit Ave
Hackensack, NJ 07601
Phone (201) 646-0010

255 W Spring Valley Ave
Ste 102
Maywood, NJ 07607
Phone (201) 279-6340

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

335 Passaic St
Passaic, NJ 07055
Phone (973) 358-5500

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

428 Union Ave
Paterson, NJ 07502
Phone (201) 489-3888

91 Main St
Paterson, NJ 07505
Phone (973) 358-5500

865 Teaneck Rd
Ste 1
Teaneck, NJ 07666

223 Old Hook Rd
Ste 2
Westwood, NJ 07675
Phone (201) 297-9167

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1417611682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555818",
            "telephone_number": "973-358-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555818",
            "telephone_number": "973-358-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Broadway",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075141916",
            "country_code": "US",
            "telephone_number": "973-523-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AMATO",
        "first_name": "MICHELLE",
        "middle_name": "MARION",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01117000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.