Individual provider Active NPI

Danielle M Pace Weber, APN - BC

  • Family Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1780958405
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00360200 Issued in NJ
Practice address
2 Journal Square PLZ
Broadridge Medical Dept
Jersey City, NJ 07306-4001
Phone
(201) 714-8622
Fax
(201) 714-8208
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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 26NJ00360200 NJ Primary

Addresses

Primary practice location

2 Journal Square PLZ
Broadridge Medical Dept
Jersey City, NJ 07306-4001

Mailing address

2 Journal Square PLZ
Broadridge Medical Dept
Jersey City, NJ 07306-4001
Phone (201) 714-8622

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00360200NJMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1780958405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOURNAL SQUARE PLZ",
            "address_2": "BROADRIDGE MEDICAL DEPT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064001",
            "telephone_number": "201-714-8622",
            "fax_number": "201-714-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNAL SQUARE PLZ",
            "address_2": "BROADRIDGE MEDICAL DEPT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064001",
            "telephone_number": "201-714-8622",
            "fax_number": "201-714-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE WEBER",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "APN - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00360200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.