Individual provider Active NPI

Joseph Degregorio, MD

  • Cardiovascular Disease Physician
  • Glen Ridge, NJ
National Provider Identifier
1023086691
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA59584 Issued in NJ
Practice address
946 Bloomfield Avenue
Glen Ridge, NJ 07028
Phone
(973) 743-1121
Fax
(973) 743-2627
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA59584 NJ Primary
Interventional Cardiology Physician 207RI0011X MA59584 NJ

Addresses

Primary practice location

946 Bloomfield Avenue
Glen Ridge, NJ 07028

Mailing address

946 Bloomfield Avenue
Glen Ridge, NJ 07028
Phone (973) 743-1121

Other identifiers 1

IdentifierTypeStateIssuer
7702507MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000241 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 3072505031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

946 Bloomfield Ave
Glen Ridge, NJ 07028-1308
Phone (201) 743-1121

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA59584NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Dec 15, 2011 Accepting new patients
Dmac Vascular Lab LLC CurrentSince Jun 1, 2022 Accepting new patients
Irpus Electrophysiology LLC Current Accepting new patients

Locations

946 Bloomfield Ave
Glen Ridge, NJ 07028
Phone (973) 376-3259

946 Bloomfield Ave
Ste 1
Glen Ridge, NJ 07028
Phone (973) 743-0061

946 Bloomfield Ave
Lowr
Glen Ridge, NJ 07028
Phone (973) 743-0061

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

Interoperability endpoints

  • Direct secure messaging: jdegregorio236527@direct.englewoodhealth.org
  • Direct secure messaging: jdegregorio191396@ahs.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1023086691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 BLOOMFIELD AVENUE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "973-743-1121",
            "fax_number": "973-743-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BLOOMFIELD AVENUE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "973-743-1121",
            "fax_number": "973-743-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREGORIO",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA59584",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MA59584",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.