Individual provider Active NPI

Danielle Hartzband, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1427429265
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
8270 Issued in CT
Practice address
1085 Park Ave
Suite 1N
New York, NY 10128-1168
Phone
(212) 876-1886
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 8270 CT Primary
Adult Health Nurse Practitioner 363LA2200X F307447-1 NY

Addresses

Primary practice location

1085 Park Ave
Suite 1N
New York, NY 10128-1168

Mailing address

300 Post Rd W
Ste 101
Westport, CT 06880-4703
Phone (914) 548-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210928002216 CT Practitioner - Nurse Practitioner 6709177058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

300 Post Rd W
FL 1
Westport, CT 06880-4703
Phone (203) 332-3272

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307447NYMDLicensed Practical Nurse
F307447-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2021 Accepting new patients
CLB Medical Services PC PastSince Apr 6, 2016 Accepting new patients

Locations

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

300 Post Rd W
Fl 1
Westport, CT 06880
Phone (203) 332-3272

300 Post Rd W
Ste 101
Westport, CT 06880
Phone (203) 226-2490

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

60 Danbury Rd
Ste 101
Wilton, CT 06897
Phone (203) 926-8835

Organizations & group practices 3

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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1427429265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 POST RD W",
            "address_2": "STE 101",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804703",
            "telephone_number": "914-548-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 PARK AVE",
            "address_2": "SUITE 1N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281168",
            "telephone_number": "212-876-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZBAND",
        "first_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "8270",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307447-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.