Individual provider Active NPI

Pablo Anibal Arteta, MD

  • Internal Medicine Physician
  • West New York, NJ
National Provider Identifier
1053331579
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05857000 Issued in NJ
Practice address
426 57TH Street
West New York, NJ 07093
Phone
(201) 869-6000
Fax
(201) 869-6622
NPI assigned
Jul 20, 2006
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05857000 NJ Primary

Addresses

Primary practice location

426 57TH Street
West New York, NJ 07093

Mailing address

426 57TH Street
West New York, NJ 07093
Phone (201) 869-6000

Other identifiers 1

IdentifierTypeStateIssuer
7793006MedicaidNJ

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
I20100928001620 NJ Practitioner - Internal Medicine 9032233788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

426 57TH St
West New York, NJ 07093-2120
Phone (201) 869-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pablo a. Arteta, M.D.,P.C. CurrentSince Jun 6, 2010 Accepting new patients
Downtown Bronx Medical Associates PC Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients

Locations

426 57th St
West New York, NJ 07093
Phone (201) 869-6000

Interoperability endpoints

  • Direct secure messaging: parteta@paamd.ssdirect.aprima.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, 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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1053331579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 57TH STREET",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-869-6000",
            "fax_number": "201-869-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 57TH STREET",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-869-6000",
            "fax_number": "201-869-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTETA",
        "first_name": "PABLO",
        "middle_name": "ANIBAL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05857000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7793006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.