Individual provider Active NPI

Danielle M Fries, APN

  • Adult Health Nurse Practitioner
  • North Arlington, NJ
National Provider Identifier
1871000125
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00789700 Issued in NJ
Practice address
25 Locust Ave
North Arlington, NJ 07031-5512
Phone
(201) 246-1111
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00789700 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00789700 NJ Primary

Addresses

Primary practice location

25 Locust Ave
North Arlington, NJ 07031-5512

Mailing address

32 49TH St Apt 1
Weehawken, NJ 07086-7204
Phone (740) 350-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191010001815 OH Practitioner - Nurse Practitioner 7618222076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

6024 Hoover Rd
Grove City, OH 43123-8133
Phone (614) 627-1810

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00789700NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc CurrentSince Sep 16, 2019 Accepting new patients
Mount Carmel Healthproviders Inc CurrentSince Sep 16, 2019 Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

6024 Hoover Rd
Ste G
Grove City, OH 43123
Phone (614) 324-9090

6024 Hoover Rd
Ste A
Grove City, OH 43123
Phone (614) 777-5700

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: dfries1147931@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1871000125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 49TH ST APT 1",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070867204",
            "telephone_number": "740-350-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LOCUST AVE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315512",
            "telephone_number": "201-246-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00789700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00789700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Arlington, NJ

Sources for this page

Verify at the official NPI Registry.