Individual provider Active NPI

Karen E Pandola-Dilolle, AGACNP-BC

  • Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1477035715
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NO10707900 Issued in NJ
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

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108000370 NJ Practitioner - Nurse Practitioner 8820334113 Reassigns benefits to 2 organizations

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
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Urology LLC CurrentSince Nov 12, 2018 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.