ASHLEY RINALDI DETTRA (MSN, RN, CCRN, NP-C) – Cardiovascular Disease Physician, NPI 1831764794
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,574 NURSE PRACTITIONER in NJ
Provider Addresses for ASHLEY RINALDI DETTRA (MSN, RN, CCRN, NP-C)
54 E ALLENDALE RD
SADDLE RIVER, NJ 074582921
Phone: (201) 675-6046
Type: Mailing
20 PROSPECT AVE STE 615
HACKENSACK, NJ 076011997
Phone: (973) 919-2806
Fax: (551) 996-0774
Type: Location
300 RIVERFRONT BLVD APT 1102
ELMWOOD PARK, NJ 074071166
Phone: (201) 675-6046
Type: Mailing
43 YAWPO AVE STE 3
OAKLAND, NJ 074362717
Phone: (201) 337-0066
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,873.
Total Amount is formed as General ($1,873) + Research ($0) + Ownership ($0) = $1,873.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Philips North America LLC ($516).
Total Amount
$1,873
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,873
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-30
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210730002869 | I | Nurse Practitioner | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07458)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease (Cardiology) | NJ | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Cardiovascular Disease (Cardiology) | NJ | |
| General Practice | NJ |
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