Active NPI
Laura Marie Dellorusso, APN, C
- Acute Care Nurse Practitioner
- Eatontown, NJ
National Provider Identifier
1447426796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ00079100
- Practice address
- 11 Meridian Rd
Eatontown, NJ 07724-2242 - Phone
- (732) 663-0300
- Fax
- (732) 663-0301
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00079100 | NJ | Primary |
Addresses
Primary practice location
11 Meridian Rd
Eatontown, NJ 07724-2242
Mailing address
11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0270865 | Medicaid | NJ |
Other names 1
- Mrs. Laura Marie Chen
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110825000063 | NJ | Practitioner - Nurse Practitioner | 0143490300 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monmouth Cardiology Associates, LLC
Practice addresses (Care Compare)
11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300
Hospital & facility affiliations
- Jersey Shore University Medical Center
- Ocean Medical Center
- JFK University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change of Heart Cardiology, LLC | Current | Accepting new patients | |
| New York Cardiovascular Associates PLLC | Past | Accepting new patients |
Locations
2130 Highway 35
Ste 321
Sea Girt, NJ 08750
Phone (732) 974-6700
2130 Highway 35
Ste 325
Sea Girt, NJ 08750
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.
-
- Cardiovascular Disease Physician
- Eatontown, NJ
- NPI 1285601674
NJ
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1821065590
Hospital & facility affiliations 7
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": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1447426796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MERIDIAN RD",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077242242",
"telephone_number": "732-663-0300",
"fax_number": "732-663-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MERIDIAN RD",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077242242",
"telephone_number": "732-663-0300",
"fax_number": "732-663-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLORUSSO",
"first_name": "LAURA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "APN, C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00079100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0270865",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "CHEN",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "APN, C",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.