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DENISE DONNELLY
NPI 1467194795
Family Medicine in Randolph, NJ

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
477 STATE ROUTE 10 STE 205, RANDOLPH, NJ 07869(973) 560-9500(833) 493-1248 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2025, Jul 20, 2023, Sep 17, 2022 and 2 more (5 updates tracked since 2022).

About Denise Donnelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENISE DONNELLY (NPI 1467194795) is an individual family medicine provider in Randolph, New Jersey, licensed in New Jersey (25MA12377600) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Verona, and is a graduate of Hackensack Meridian School Of Med At Seton Hall (2022).

NPPES Registry Identity

NPI1467194795
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDENISE DONNELLY
Location Address477 STATE ROUTE 10 STE 205Randolph, NJ 07869-2144
Mailing Address271 Grove Ave Ste EVerona, NJ 07044-1730 · (973) 559-3700
Phone(973) 560-9500
Fax(833) 493-1248
Sole ProprietorNo
Medical School CMSHackensack Meridian School Of Med At Seton HallGraduated 2022
Enumeration DateApril 7, 2022
Last NPPES UpdateOctober 8, 20255 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1467194795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA12377600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
477 STATE ROUTE 10 STE 205, Randolph, NJ 07869
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Secondary Practice Location 1

Location 1271 Grove Ave Ste AVerona, NJ 07044-1731 · Phone (973) 239-2600 · Fax (833) 495-1921

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Denise Donnelly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901249804
PECOS Enrollment IDI20251027002007
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Denise Donnelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vanguard Medical Group, PA
17 mi
Family Medicine
271 GROVE AVE, SUITE A
Verona, NJ 07044
  • Reassigned Medicare billing, New Jersey enrollment
  • 38 clinicians in this Medicare group
NPI 1073674412 (973) 239-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07869 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denise Donnelly's NPI number?

The NPI number for Denise Donnelly is 1467194795. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Denise Donnelly located?

Denise Donnelly practices at 477 State Route 10 Ste 205, Randolph, NJ 07869. The listed phone number is (973) 560-9500.

What is Denise Donnelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Denise Donnelly enrolled in Medicare?

Yes. Denise Donnelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Denise Donnelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Donnelly reassigns Medicare benefits to Vanguard Medical Group, PA (Verona, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Donnelly accept?

Health plans from Oscar Health list Denise Donnelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denise Donnelly was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.