Michele Bauzil Dolisca, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00919100 Issued in NJ

Practice address

4 Pollis Dr
East Hanover, NJ 07936-3118

Phone

(973) 515-5264

NPI assigned

May 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Louis V Sangosse, MD PA

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1578802385
  Medicare reassignment NPD

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1992361315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 POLLIS DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363118",
            "telephone_number": "973-515-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 POLLIS DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363118",
            "telephone_number": "973-515-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLISCA",
        "first_name": "MICHELE",
        "middle_name": "BAUZIL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00919100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Difazio, DC
• Muhammadali Iqbal Dinani, DMD
• Lauren S Ditaranto, LPC
• Jane Vanacore Dixon, RDN, CDCES
• Dka Medical LLC
• William Domke II
• Mary Theresa Downey-Freiman, RN MSN OCN
• Dr. Joseph L. Cavallo, OD
• Nicholas Dugan
• Douglas Dzema Jr., PT, DPT

• Nurse Practitioner in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.