Active NPI
Luisa A. Fierro, M.D.
- Family Medicine Physician
- Holmdel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA07263400
- Practice address
- 670 N Beers St
BLDG#2, #Ste1
Holmdel, NJ 07733-1516 - Phone
- (732) 226-5552
- Fax
- (732) 757-0824
- NPI assigned
- Jan 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37578 | AZ | |
| Family Medicine Physician | 207Q00000X | MA07263400 | NJ | Primary |
Addresses
Primary practice location
670 N Beers St
BLDG#2, #Ste1
Holmdel, NJ 07733-1516
Mailing address
670 N Beers St
BLDG#2, #Ste1
Holmdel, NJ 07733-1516
Phone (732) 226-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z142914 | Other | NJ | MEDICARE NUMBER |
Other names 1
- Mrs. Luisa A. Groves
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171012001219 | FL | Order and Referring Only - Family Practice | 3274505516 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
11962 County Rd
The Villages, FL 32162-9336
Phone (352) 693-3378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Medical Group, NJ-PC | Family Medicine | Current | Accepting new patients |
Locations
135 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-7055
15 Essex Rd
Fl 5
Paramus, NJ 07652
15 Essex Rd
Ste 504
Paramus, NJ 07652
780 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-5333
Organizations & group practices 1
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.
-
dba Valley Health Medical Group
- General Practice Physician
- Dumont, NJ
- NPI 1447227368
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1053616565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 N BEERS ST",
"address_2": "BLDG#2, #STE1",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331516",
"telephone_number": "732-226-5552",
"fax_number": "732-757-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 N BEERS ST",
"address_2": "BLDG#2, #STE1",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331516",
"telephone_number": "732-226-5552",
"fax_number": "732-757-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIERRO",
"first_name": "LUISA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-13",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "37578",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA07263400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "Z142914",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LUISA",
"last_name": "GROVES",
"middle_name": "A.",
"prefix": "MRS.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.