Alyssa Dallicardillo, APN-C

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ00501400 Issued in NJ

Practice address

175 Gunning River Rd BLDG E
Barnegat, NJ 08005-1436

Phone

(609) 926-8899

Fax

(609) 660-8052

NPI assigned

Jun 4, 2014

Last updated

Jun 29, 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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coyle S Connolly DO PAGroup PAC ID 2961498118, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.23 of 100Reported as group

Quality

95.33

Promoting interoperability

86

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adallicardillo@connollydermatology.emadirect.md

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.

• Coyle S Connolly DO PA

  • Dermatology Physician
  • Linwood, NJ
  • NPI 1053367516
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1871906115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PRINCETON AVE",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212313",
            "telephone_number": "732-779-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GUNNING RIVER RD BLDG E",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080051436",
            "telephone_number": "609-926-8899",
            "fax_number": "609-660-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLICARDILLO",
        "first_name": "ALYSSA",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00501400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonee Craig, RN
• Jeffrey Michael Crespy, D.D.S.
• Tara Curtin-Clarke
• Elizabeth Erin Czar, D.O.
• Rhonda Daley, RN, IBCLC, ANLC
• Katie Patricia Davis, LCSW
• Gerard Dimasi
• Florence M Ditmar, PH.D.
• Scott Raymond Dorow, P.T.
• East Coast Woman's Health & Pelvic Surgery LLC

• Women's Health Nurse Practitioner in Barnegat, NJ
• Providers in Barnegat, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.