Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Denise Donnelly

Individual provider Family Medicine Physician · NPI 1467194795

Denise Donnelly is a Family Practice in Randolph, New Jersey. Graduated from Hackensack Meridian School of Med at Seton Hall in 2022, 4 years ago. Practices with Vanguard Medical Group PA, a 60-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
4
Trained at
Hackensack Meridian School of Med at Seton Hall
Licensed in
NJ
In the registry since
2022

Practice location Address checks out

477 State Route 10 Ste 205
Randolph, NJ 07869-2144
Phone: (973) 560-9500
Fax: (833) 493-1248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 271 Grove Ave Ste A, Verona, NJ 07044-1731 — (973) 239-2600

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA12377600 (NJ)

Record details

NPI number1467194795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2022
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address271 Grove Ave Ste E, Verona, NJ 07044-1730

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolHACKENSACK MERIDIAN SCHOOL OF MED AT SETON HALL
Graduated 2022 (4 years in practice)
Group practice Vanguard Medical Group Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Randolph