Active NPI
Karen E Pandola-Dilolle, AGACNP-BC
- Nurse Practitioner
- Linwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NO10707900
- Practice address
- 222 New Rd Ste 700
Linwood, NJ 08221-1286 - Phone
- (609) 653-4343
- Fax
- (609) 653-2060
- NPI assigned
- Sep 4, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Registered Nurse | 163WU0100X | 26NO10707900 | NJ | |
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00828600 | NJ | |
| Nurse Practitioner | 363L00000X | 26NO10707900 | NJ | Primary |
Addresses
Primary practice location
222 New Rd Ste 700
Linwood, NJ 08221-1286
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Other practice location 1
2401 E Evesham Rd Ste F
Voorhees, NJ 08043-9590
Phone (856) 673-1600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdilolle10319@njurology.direct-ci.com | New Jersey Urology LLC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Hospital & facility affiliations
- West Jersey Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Urology LLC | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group, Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
222 New Rd
Ste 700
Linwood, NJ 08221
Phone (609) 653-4343
1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035
136 Route 73
Ste B
Voorhees, NJ 08043
136 Route 73
Ste A
Voorhees, NJ 08043
2401 E Evesham Rd
Ste F
Voorhees, NJ 08043
Phone (856) 673-1600
Interoperability endpoints
- kdilolle10319@njurology.direct-ci.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Urology Physician
- Bloomfield, NJ
- NPI 1588822423
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1477035715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-273-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 NEW RD STE 700",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211286",
"telephone_number": "609-653-4343",
"fax_number": "609-653-2060"
}
],
"practiceLocations": [
{
"address_1": "2401 E Evesham Rd Ste F",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439590",
"country_code": "US",
"telephone_number": "856-673-1600",
"fax_number": "856-424-7529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANDOLA-DILOLLE",
"first_name": "KAREN",
"middle_name": "E",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WU0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Urology",
"state": "NJ",
"license": "26NO10707900",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00828600",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NO10707900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdilolle10319@njurology.direct-ci.com",
"affiliation": "Y",
"affiliationName": "New Jersey Urology LLC",
"address_1": "2401 E Evesham Rd Ste F",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439590",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Linwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.