Individual provider Active NPI

Roody Dalberis, DNP

  • Family Nurse Practitioner
  • Irvington, NJ
National Provider Identifier
1508455643
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01053500 Issued in NJ
Practice address
18 Marshall St Apt 2P
Irvington, NJ 07111-3652
Phone
(862) 888-1530
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01053500 NJ Primary

Addresses

Primary practice location

18 Marshall St Apt 2P
Irvington, NJ 07111-3652

Mailing address

18 Marshall St Apt 2P
Irvington, NJ 07111-3652
Phone (862) 888-1530

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
I20210208001951 NJ Practitioner - Nurse Practitioner 7315352101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

60 Evergreen PL
Suite 400
East Orange, NJ 07018-2120
Phone (973) 395-1550

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Center of the Oranges CurrentSince Jan 15, 2021 Accepting new patients
The Heart Center of the Oranges Past Accepting new patients
The Heart Center of the Oranges Past Accepting new patients

Locations

135 Bloomfield Ave
Ste B
Bloomfield, NJ 07003
Phone (973) 743-2248

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

2091 Millburn Ave
Maplewood, NJ 07040
Phone (973) 378-2266

202 Stuyvesant Ave
Ste A
Newark, NJ 07106
Phone (973) 374-8807

60 Vose Ave
South Orange, NJ 07079
Phone (973) 763-5200

95 Main St
West Orange, NJ 07052
Phone (732) 319-7765

77 Main St
West Orange, NJ 07052
Phone (973) 324-2090

92 Old Northfield Rd
West Orange, NJ 07052
Phone (973) 736-0885

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1508455643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MARSHALL ST APT 2P",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113652",
            "telephone_number": "862-888-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARSHALL ST APT 2P",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113652",
            "telephone_number": "862-888-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALBERIS",
        "first_name": "ROODY",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01053500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

Verify at the official NPI Registry.