Claudine Destine, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00663500 Issued in NJ

Practice address

1500 Pleasant Valley Way Ste 305
West Orange, NJ 07052-2956

Phone

(862) 658-6700

NPI assigned

Sep 7, 2016

Last updated

Jun 27, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

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.

• Lerene Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Berlin, NJ
  • NPI 1134964513
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Newark Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1740345693
  Medicare reassignment NPD
• Maryland Medical Specialists Inc

  • Clinic/Center
  • Rockville, MD
  • NPI 1245907252
  Medicare reassignment
• Newark Community Health Centers, Inc

  dba Ironbound Medical & Dental Center

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1366993586
  NPD
• Vitality NP Group LLC

  • Nurse Practitioner
  • Horsham, PA
  • NPI 1003453051
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1912454927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 W BROAD ST",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091435",
            "telephone_number": "973-768-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY STE 305",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "862-658-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NJ",
            "postal_code": "080091435",
            "country_code": "US",
            "telephone_number": "973-768-3139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESTINE",
        "first_name": "CLAUDINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00663500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00663500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aruna Asvin Desai, MD
• Bhargavi Amish Desai, R.P.T
• Victoria Christina Desantos, MD
• Sherley Desrouleaux
• Solande Destin, PMHN-BC
• Developmental Disabilities Association of NJ Inc.
• Pooja Devi, MD
• Yeshuschandra R Dhaibar, MD
• Diabetic Foot & Ankle Centers of NJ LLC
• Diagnostic & Clinical Cardiology, PA

• Psychiatric/Mental Health Nurse Practitioner in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.