Organization Active NPI

Nessuno

  • Psychiatry Physician
  • Holmdel, NJ
National Provider Identifier
1689065096
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA2509075000 Issued in NJ
Legal business name
NESSUNO
Practice address
723 N Beers St Ste 2G
Holmdel, NJ 07733-1512
Phone
(732) 788-6463
Fax
(405) 544-3009
NPI assigned
Feb 8, 2015
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Daniel D'Andrea, M.D.NPI 1992763866
Title
Owner
Phone
(732) 788-6463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA2509075000 NJ Primary

Addresses

Primary practice location

723 N Beers St Ste 2G
Holmdel, NJ 07733-1512

Mailing address

723 N Beers St Ste 2G
Holmdel, NJ 07733-1512
Phone (732) 788-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150423000505 NJ Part B Supplier - Clinic/Group Practice 6800114844 Receives reassigned benefits from 5 practitioners
Practice locations: Holmdel, NJ

National Provider Directory

National Provider Directory

Locations

723 N Beers St
Ste 2G
Holmdel, NJ 07733
Phone (732) 456-4168

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1689065096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST STE 2G",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331512",
            "telephone_number": "732-788-6463",
            "fax_number": "405-544-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST STE 2G",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331512",
            "telephone_number": "732-788-6463",
            "fax_number": "405-544-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESSUNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-08",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "D'ANDREA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-788-6463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA2509075000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.