Individual provider Active NPI

John Michael Danks, M.D.

  • Vascular Surgery Physician
  • Paramus, NJ
National Provider Identifier
1023308772
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA10325200 Issued in NJ
Practice address
1 W Ridgewood Ave Ste 106
Paramus, NJ 07652-2350
Phone
(201) 389-3700
Fax
(201) 389-6191
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA10325200 NJ Primary

Addresses

Primary practice location

1 W Ridgewood Ave Ste 106
Paramus, NJ 07652-2350

Mailing address

1 W Ridgewood Ave Ste 106
Paramus, NJ 07652-2350
Phone (201) 389-3700

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
I20181030000180 NJ Practitioner - General SurgeryPractitioner - Vascular Surgery 4981957594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)118
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10325200NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Healthcare, Inc. CurrentSince May 16, 2019 Accepting new patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
Vascular and Endovascular Associates of NJ LLC Vascular Surgery CurrentSince Oct 1, 2018 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

1135 Broad St
Ste 1
Clifton, NJ 07013
Phone (973) 754-2196

1 W Ridgewood Ave
Ste 106
Paramus, NJ 07652
Phone (201) 389-3700

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

234 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (862) 207-7510

220 Hamburg Tpke
Ste 23
Wayne, NJ 07470
Phone (862) 207-7512

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Interoperability endpoints

  • Direct secure messaging: jdanks201781@ahs.direct-ci.com

Organizations & group practices 4

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1023308772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE STE 106",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522350",
            "telephone_number": "201-389-3700",
            "fax_number": "201-389-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE STE 106",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522350",
            "telephone_number": "201-389-3700",
            "fax_number": "201-389-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA10325200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.