Individual provider Active NPI

Deatte Gettinger

  • Family Nurse Practitioner
  • Hazlet, NJ
National Provider Identifier
1891179917
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NR14525900 Issued in NJ
Practice address
3391 State Route 35
Hazlet, NJ 07730-1521
Phone
(866) 389-2727
NPI assigned
Jul 18, 2015
Last updated
Apr 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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 26NR14525900 NJ Primary

Addresses

Primary practice location

3391 State Route 35
Hazlet, NJ 07730-1521

Mailing address

3391 State Route 35
Hazlet, NJ 07730-1521

Other names 1

  • Ms. Deatte Clarino Professional name

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
I20151016001222 NJ Practitioner - Nurse Practitioner 5991014854 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR14525900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Freedom LLC Current Accepting new patients
Columbiadoctors of Bergen County CurrentSince Dec 25, 2016 Accepting new patients
Omneity Health Care CurrentSince Dec 1, 2015 Accepting new patients

Locations

500 Grand Ave
Englewood, NJ 07631
Phone (201) 541-0440

Interoperability endpoints

  • Direct secure messaging: deattegettinger@pfllc.allscriptsdirect.net
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1891179917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 STATE ROUTE 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 STATE ROUTE 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301521",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTINGER",
        "first_name": "DEATTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR14525900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEATTE",
            "last_name": "CLARINO",
            "prefix": "MS.",
            "credential": "ANP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.