Individual provider Active NPI

Edward M Decter, M.D.

  • Orthopaedic Surgery Physician
  • West Orange, NJ
National Provider Identifier
1033215298
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA032190 Issued in NJ
Practice address
1500 Pleasant Valley Way
Suite 101
West Orange, NJ 07052-2956
Phone
(973) 669-5600
Fax
(973) 669-0199
NPI assigned
Sep 15, 2006
Last updated
Feb 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MA032190 NJ Primary

Addresses

Primary practice location

1500 Pleasant Valley Way
Suite 101
West Orange, NJ 07052-2956

Mailing address

1500 Pleasant Valley Way
Suite 101
West Orange, NJ 07052-2956
Phone (973) 669-5600

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
I20130403000462 NJ Practitioner - Orthopedic Surgery 2668375056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Orthopaedic and Sports Medicine PAGroup PAC ID 7416840491, 43 clinicians

Practice addresses (Care Compare)

197 Ridgedale Ave
Suite 300
Cedar Knolls, NJ 07927-2111
Phone (973) 538-2334

Merit-based Incentive Payment System (MIPS)

Final score
79.23 of 100Reported as group
Quality
79.62
Promoting interoperability
73
Improvement activities
40
Cost
73.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA032190NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Orthopaedic & Sports Medicine PA Orthopaedic Surgery CurrentSince Jan 12, 2015 Accepting new patients
Tri-County Orthopaedic & Sports Medicine PA Orthopaedic Surgery CurrentSince Jan 12, 2015 Accepting new patients

Locations

197 Ridgedale Ave
Ste 300
Cedar Knolls, NJ 07927
Phone (605) 216-3916

200 S Orange Ave
Ste 230
Livingston, NJ 07039
Phone (973) 322-7005

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60912

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1033215298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 101",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-669-5600",
            "fax_number": "973-669-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 101",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-669-5600",
            "fax_number": "973-669-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECTER",
        "first_name": "EDWARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA032190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.