Individual provider Active NPI

Eric Fete, DO

  • Emergency Medicine Physician
  • Fair Lawn, NJ
National Provider Identifier
1013054980
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB11352400 Issued in NJ
Practice address
23-00 Route 208 Ste 2-9
Fair Lawn, NJ 07410-1558
Phone
(908) 948-8802
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7564 OH
Emergency Medicine Physician 207P00000X 25MB11352400 NJ Primary

Addresses

Primary practice location

23-00 Route 208 Ste 2-9
Fair Lawn, NJ 07410-1558

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443

Other practice location 1

5680 Pine Valley Dr
Zanesville, OH 43701-6874
Phone (740) 704-5386

Other identifiers 2

IdentifierTypeStateIssuer
2258542MedicaidOH
3810008966MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090716000477 OH Practitioner - Emergency MedicinePractitioner - Vascular Surgery 2860544103 Reassigns benefits to 2 organizations
I20221124000155 NJ Practitioner - Emergency Medicine 2860544103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11352400NJMDEmergency Medicine Physician
7564OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choicepoint LLC CurrentSince Oct 1, 2022 Accepting new patients
Omega Behavioral Health Solutions, LLC CurrentSince Nov 9, 2024 Accepting new patients
Omega Behavioral Health Solutions, LLC CurrentSince Nov 9, 2024 Accepting new patients
Choicepoint LLC CurrentSince Oct 1, 2022 Accepting new patients
Marion Physician Billing LLC Emergency Medicine Past Accepting new patients
Marion General Hospital Foundation, Inc. Emergency Medicine Past Accepting new patients
Immediate Health Associates Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Emergency Medicine Physicians of Richland County, LTD Emergency Medicine Past Accepting new patients
Genesis Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Franklin County, LTD Emergency Medicine Past Accepting new patients
Epmg of Ohio Inc P a Emergency Medicine PastSince Aug 3, 2025 Accepting new patients

Locations

6586 Atlantic Ave
Delray Beach, FL 33446
Phone (203) 872-7187

23-00 Route 208
Ste 2-9
Fair Lawn, NJ 07410
Phone (844) 445-2563

90 E Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 629-9113

Interoperability endpoints

  • Direct secure messaging: eric.fete.1@33653.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1013054980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 STE 2-9",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101558",
            "telephone_number": "908-948-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5680 Pine Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437016874",
            "country_code": "US",
            "telephone_number": "740-704-5386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FETE",
        "first_name": "ERIC",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "7564",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB11352400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2258542",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008966",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.