Individual provider Active NPI

Dayna Soluri, MSN, RN, AGACNP-BC

  • Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1881062008
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00588400 Issued in NJ
Practice address
459 Jack Martin Blvd Ste 2
Brick, NJ 08724-7724
Phone
(732) 458-6200
Fax
(732) 458-9464
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00588400 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00588400 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ00588400 NJ
Nurse Practitioner 363L00000X 26NJ00588400 NJ Primary

Addresses

Primary practice location

459 Jack Martin Blvd Ste 2
Brick, NJ 08724-7724

Mailing address

459 Jack Martin Blvd Ste 2
Brick, NJ 08724-7724
Phone (732) 458-6200

Other identifiers 1

IdentifierTypeStateIssuer
0486051MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160518000613 NJ Practitioner - Nurse Practitioner 4587953377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Cardiovascular Consultants, PAGroup PAC ID 0042223778, 7 clinicians

Practice addresses (Care Compare)

459 Jack Martin Blvd
Suite 2
Brick, NJ 08724-7724
Phone (732) 458-6200

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
89.85 of 100Reported as group
Quality
99.78
Improvement activities
40
Cost
66.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Cardiovascular Consultants, PA CurrentSince Nov 1, 2023 Accepting new patients

Locations

459 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 785-1000

459 Jack Martin Blvd
Ste 2
Brick, NJ 08724
Phone (732) 458-6200

1930 State Route 35
Ste 3
Wall Township, NJ 07719
Phone (732) 359-7060

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dayna.soluri.p1@direct.ccc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/24659/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 5

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1881062008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD STE 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-6200",
            "fax_number": "732-458-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD STE 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-6200",
            "fax_number": "732-458-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLURI",
        "first_name": "DAYNA",
        "credential": "MSN, RN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00588400",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00588400",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00588400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00588400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486051",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.