Provider Demographics
NPI:1407838543
Name:NARDONE, DANIELLE J (DO)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:J
Last Name:NARDONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8519
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-8519
Mailing Address - Country:US
Mailing Address - Phone:732-460-9840
Mailing Address - Fax:732-460-9848
Practice Address - Street 1:569 RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR HAVEN
Practice Address - State:NJ
Practice Address - Zip Code:07704-3262
Practice Address - Country:US
Practice Address - Phone:732-530-0100
Practice Address - Fax:732-530-5895
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2K2505OtherHEALTH NET
NJ8484902Medicaid
NJP1953567OtherOXFORD
NJ1949222OtherUNITED HEALTHCARE
2231307OtherAETNA HMO
NJ3228922OtherCIGNA
NY11S471OtherEMPIRE BC/BS
NJ8484902Medicaid
029789DCHMedicare ID - Type Unspecified