Individual provider Active NPI

John Walton Secoy, MD

  • Pain Medicine (Anesthesiology) Physician
  • West Caldwell, NJ
National Provider Identifier
1023093564
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MA56464 Issued in NJ
Practice address
185 Fairfield Ave
2A
West Caldwell, NJ 07006-6426
Phone
(973) 226-1230
Fax
(973) 226-1232
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA05646400 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X MA56464 NJ Primary

Addresses

Primary practice location

185 Fairfield Ave
2A
West Caldwell, NJ 07006-6426

Mailing address

PO Box 35088
Newark, NJ 07193-5088
Phone (201) 804-2800

Other identifiers 1

IdentifierTypeStateIssuer
5070309MedicaidNJ

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
I20060123000466 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 6507880101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Morristown PAGroup PAC ID 7315906591, 168 clinicians

Practice addresses (Care Compare)

175 Morristown Rd
Suite 102
Basking Ridge, NJ 07920-1657
Phone (908) 766-5556

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56464NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackettstown Anesthesia Associates Anesthesiology CurrentSince Sep 1, 2005 Accepting new patients
Anesthesia Associates of Morristown PA CurrentSince May 29, 2019 Accepting new patients
New Jersey Pain Management, PA Past Accepting new patients

Locations

175 Morristown Rd
Ste 102
Basking Ridge, NJ 07920
Phone (908) 652-1290

14 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 295-6335

3130 State Route 10
Denville, NJ 07834
Phone (973) 319-4230

3130 State Route 10
Ste 300
Denville, NJ 07834
Phone (973) 442-9980

3130 State Route 10
Ste 100
Denville, NJ 07834

230 Sherman Ave
Glen Ridge, NJ 07028
Phone (973) 743-9555

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

195 US Highway 46
Ste 202
Mine Hill, NJ 07803
Phone (973) 989-5185

111 Madison Ave
Morristown, NJ 07960
Phone (201) 943-5991

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1023093564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35088",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071935088",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FAIRFIELD AVE",
            "address_2": "2A",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066426",
            "telephone_number": "973-226-1230",
            "fax_number": "973-226-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOY",
        "first_name": "JOHN",
        "middle_name": "WALTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05646400",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MA56464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5070309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.