Danielle Joanna Desantis, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00205200 Issued in NJ

Practice address

50 Pompton Ave
Verona, NJ 07044-2917

Phone

(973) 857-3400

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Care Medical Group, Inc

  • Internal Medicine Physician
  • Verona, NJ
  • NPI 1225134695
  Medicare reassignment NPD
• First Care Medical Group, Inc

  • Internal Medicine Physician
  • Lyndhurst, NJ
  • NPI 1235361833
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1619227832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-857-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-857-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "DANIELLE",
        "middle_name": "JOANNA",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00205200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Delli Paoli, MS-SLP
• Vanessa Christine Demarmels, OTR/L
• Vincent G Denotaris, LCADC
• Benedict Dephillips, RPH
• Joelle Frances Dere, LCSW
• Sara Devito, MA, CCC-SLP
• Roger Philip Diruggiero, MD
• Discovery Mental Health LLC
• Kenneth L Distefano Sr., MD
• Kenneth Louis Distefano, MD

• Physician Assistant in Verona, NJ
• Providers in Verona, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.

Verify at the official NPI Registry.