Ashley Rinaldi Dettra, MSN, RN, CCRN, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01153600 Issued in NJ

Practice address

43 Yawpo Ave Ste 3
Oakland, NJ 07436-2717

Phone

(201) 337-0066

NPI assigned

May 24, 2021

Last updated

Oct 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

William K Lee MD PAGroup PAC ID 5294760161, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.dettra.1@27406.direct.athenahealth.com

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.

• William K Lee MD PA

  • Cardiovascular Disease Physician
  • Oakland, NJ
  • NPI 1508891003
  Medicare reassignment Care Compare group NPD
• Advanced Cardiovascular Interventions, PA

  • Cardiovascular Disease Physician
  • Hackensack, NJ
  • NPI 1134433121
  Medicare reassignment NPD
• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  dba Chilton Medical Center

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809
  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1831764794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERFRONT BLVD APT 1102",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071166",
            "telephone_number": "201-675-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE STE 3",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362717",
            "telephone_number": "201-337-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTRA",
        "first_name": "ASHLEY",
        "middle_name": "RINALDI",
        "credential": "MSN, RN, CCRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01153600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Crespo
• Kelli Anne De Rosa, M.A., BCBA
• Bryan Del Rio, P.T.
• Robert Saladaga Delagente, DO
• Meghan Deperi
• Benjamin R Dispenziere, MD
• Elizabeth Bulosan Divinagracia, PHYSICAL THERAPIST
• Neil Jeffrey Dornfeld, DMD
• Dr. Diane Hilal-Campo
• Dr. Harvey Weiss

• Gerontology Nurse Practitioner in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.