Individual provider Active NPI

Donna Earnice Dalgetty, MD

  • Child & Adolescent Psychiatry Physician
  • Belleville, NJ
National Provider Identifier
1891945390
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA07300100 Issued in NJ
Practice address
570 Belleville Ave
Belleville, NJ 07109-1308
Phone
(973) 450-3100
Fax
(073) 450-1189
NPI assigned
Sep 22, 2008
Last updated
Sep 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA07300100 NJ Primary

Addresses

Primary practice location

570 Belleville Ave
Belleville, NJ 07109-1308

Mailing address

570 Belleville Ave
Belleville, NJ 07109-1308
Phone (973) 450-3100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000038 NJ Practitioner - Psychiatry 8527238781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health CurrentSince Jan 13, 2020 Accepting new patients
Rutgers Health - Behavioral Health Current Accepting new patients

Locations

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

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, 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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1891945390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BELLEVILLE AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091308",
            "telephone_number": "973-450-3100",
            "fax_number": "073-450-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BELLEVILLE AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091308",
            "telephone_number": "973-450-3100",
            "fax_number": "073-450-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALGETTY",
        "first_name": "DONNA",
        "middle_name": "EARNICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA07300100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.