Individual provider Active NPI

Denise Patriaco, APN

  • Family Nurse Practitioner
  • Hasbrouck Heights, NJ
National Provider Identifier
1629359690
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN10702800 Issued in NJ
Practice address
777 Terrace Ave
Hasbrouck Heights, NJ 07604-3110
Phone
(201) 288-2391
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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 26NN10702800 NJ Primary

Addresses

Primary practice location

777 Terrace Ave
Hasbrouck Heights, NJ 07604-3110

Mailing address

85 Moehring Dr
Blauvelt, NY 10913-2020
Phone (845) 365-9102

Other names 1

  • Denise Mucci Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NN10702800NJMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: dpatriaco236792@direct.englewoodhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1629359690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MOEHRING DR",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109132020",
            "telephone_number": "845-365-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 TERRACE AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076043110",
            "telephone_number": "201-288-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIACO",
        "first_name": "DENISE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN10702800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "MUCCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.