Individual provider Active NPI

Danielle Marie Pineda, M.D.

  • Vascular Surgery Physician
  • Pomona, NJ
National Provider Identifier
1447417522
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA12507000 Issued in NJ
Practice address
65 W Jimmie Leeds Rd FL 1
Pomona, NJ 08240-9102
Phone
(609) 748-7089
Fax
(609) 652-3460
NPI assigned
May 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT192343 PA
Vascular Surgery Physician 2086S0129X MD443418 PA
Vascular Surgery Physician 2086S0129X 25MA12507000 NJ Primary

Addresses

Primary practice location

65 W Jimmie Leeds Rd FL 1
Pomona, NJ 08240-9102

Mailing address

65 W Jimmie Leeds Rd FL 1
Pomona, NJ 08240-9102
Phone (609) 748-7089

Other practice location 1

1245 Highland Ave
Suite 600
Abington, PA 19001-3714
Phone (215) 887-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160808002598 PA Practitioner - Vascular Surgery 1052543337 Reassigns benefits to 1 organization
I20250101000045 NJ Practitioner - Vascular Surgery 1052543337 Reassigns benefits to 1 organization
I20250110002438 ME Practitioner - General SurgeryPractitioner - Vascular Surgery 1052543337 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
87.71
Improvement activities
40
Cost
77.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)25
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT192343PAMDSurgery Physician
25MA12507000NJMDVascular Surgery Physician
MD443418PAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince Jan 2, 2025 Accepting new patients
Bridgton Hospital CurrentSince Jan 2, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Jan 2, 2025 Accepting new patients
Rumford Hospital CurrentSince Jan 2, 2025 Accepting new patients
Bridgton Hospital CurrentSince Jan 2, 2025 Accepting new patients
Atlanticare Physician Group CurrentSince Dec 27, 2024 Accepting new patients
Surgical Care Specialists Inc Surgery CurrentSince Aug 1, 2016 Accepting new patients
Central Maine Medical Center CurrentSince Jan 2, 2025 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Dec 27, 2024 Accepting new patients
Atlanticare Physician Group PA Surgery Current Accepting new patients
Atlanticare Regional Medical Center Surgery PastSince Dec 29, 2024 Accepting new patients
Atlanticare Physician Group PastSince Dec 29, 2024 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

300 Main St
Slp Lab
Lewiston, ME 04240
Phone (207) 795-7522

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

2500 English Creek Ave
Ste 1200
Egg Harbor Twp, NJ 08234
Phone (609) 704-1980

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

436 Chris Gaupp Dr
Ste 204
Galloway, NJ 08205
Phone (609) 652-0100

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Fl 1
Pomona, NJ 08240
Phone (609) 441-8146

1245 Highland Ave
Ste 600
Abington, PA 19001
Phone (215) 887-3990

Interoperability endpoints

  • Direct secure messaging: pqrs.pqrs.p23@direct.lifelinevascular.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CECJAA
  • Direct secure messaging: danielle.pineda@scs.eclinicaldirectplus.com
  • Direct secure messaging: pqrs.pqrs.p97@direct.lifelinevascular.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1447417522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD FL 1",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-748-7089",
            "fax_number": "609-652-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD FL 1",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-748-7089",
            "fax_number": "609-652-3460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Highland Ave",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013714",
            "country_code": "US",
            "telephone_number": "215-887-3990",
            "fax_number": "215-887-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-17",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT192343",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD443418",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA12507000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

Verify at the official NPI Registry.