Daniel Dean Amitie, MD
Individual provider Active NPI Anesthesiology Physician · Neptune, NJ
NPI 1891770939 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1891770939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 25MA08879800 (NJ)
- Practice address
- 1945 Route 33
Ackerman 4TH Floor
Neptune, NJ 07753 - Phone
- (732) 775-5500
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hackensack Meridian Health Medical Group - Specialty Care PC
Practice addresses (Care Compare)
1945 Route 33
Ackerman 4
Neptune, NJ 07753
Phone (732) 776-4949
Hospital & facility affiliations
- Jersey Shore University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110509000138 | NJ | Practitioner - Anesthesiology |
7810925252 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200500302 | NC | MD | Anesthesiology Physician |
| 25MA08879800 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| University of North Carolina at Chapel Hill | Anesthesiology | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1945 State Route 33
#4
Neptune, NJ 07753
Phone (732) 776-4949
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 200500302 | NC | |
| Anesthesiology Physician | 207L00000X | 25MA08879800 | NJ | Yes |
Addresses
Primary practice location
1945 Route 33
Ackerman 4TH Floor
Neptune, NJ 07753
Mailing address
331 Newman Springs Road
BLDG. 2, Suite 220
Red Bank, NJ 07701
Phone (732) 807-0877
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901327 | Medicaid | NC | |
| 139W5 | Other | NC | BCBS,NC |
NPI Registry JSON
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1891770939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS ROAD",
"address_2": "BLDG. 2, SUITE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-807-0877",
"fax_number": "201-751-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 ROUTE 33",
"address_2": "ACKERMAN 4TH FLOOR",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "07753",
"telephone_number": "732-775-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMITIE",
"first_name": "DANIEL",
"middle_name": "DEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2025-01-07",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "200500302",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08879800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901327",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS,NC",
"identifier": "139W5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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All providers in Neptune, NJ · Anesthesiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.