Active NPI
Roody Dalberis, DNP
- Family Nurse Practitioner
- Irvington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01053500
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Heart Center of the Oranges | Current | 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.
-
- Cardiovascular Disease Physician
- East Orange, NJ
- NPI 1477532588
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1336657840
-
- Non-Pharmacy Dispensing Site
- Maplewood, NJ
- NPI 1982039624
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.