Individual provider Active NPI

Donna Cutler, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Manville, NJ
National Provider Identifier
1619623394
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01252400 Issued in NJ
Practice address
142 S 5TH Ave
Manville, NJ 08835-1818
Phone
(908) 229-3058
NPI assigned
Feb 22, 2022
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01252400 NJ Primary

Addresses

Primary practice location

142 S 5TH Ave
Manville, NJ 08835-1818

Mailing address

142 S 5TH Ave
Manville, NJ 08835-1818
Phone (908) 229-3058

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
I20230104000789 NJ Practitioner - Nurse Practitioner 6204206469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Success TMS Professional Services New Jersey LLCGroup PAC ID 9638592249, 17 clinicians

Practice addresses (Care Compare)

34 Manchester Ave
Suite 202
Forked River, NJ 08731-1366
Phone (973) 954-4592

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01252400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
1555 A New LLC CurrentSince Nov 1, 2022 Accepting new patients
Success TMS Professional Services New Jersey LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

1615 S Congress Ave
Ste 200
Delray Beach, FL 33445

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

34 Manchester Ave
Ste 202
Forked River, NJ 08731

1 University Plz
Ste 408
Hackensack, NJ 07601

45 Essex St
Ste 200
Millburn, NJ 07041
Phone (973) 840-8517

1423 Tilton Rd
Ste 6
Northfield, NJ 08225
Phone (609) 697-7933

405 Hurffvle CR Keys Rd
Ste 202
Sewell, NJ 08080
Phone (856) 566-7093

151 Fries Mill Rd
Ste 101
Turnersville, NJ 08012
Phone (856) 229-0138

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1619623394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S 5TH AVE",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351818",
            "telephone_number": "908-229-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S 5TH AVE",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351818",
            "telephone_number": "908-229-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "DONNA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01252400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manville, NJ

Sources for this page

Verify at the official NPI Registry.