Individual provider Active NPI

Albert David Della Fave, MD

  • Emergency Medicine Physician
  • Newark, NJ
National Provider Identifier
1053744664
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA09592100 Issued in NJ
Practice address
150 Bergen St
Rutgers University Hospital Emergency Dept.
Newark, NJ 07103-2496
Phone
(973) 972-5123
NPI assigned
Aug 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA09592100 NJ Primary

Addresses

Primary practice location

150 Bergen St
Rutgers University Hospital Emergency Dept.
Newark, NJ 07103-2496

Mailing address

603 Madison St
Apt a
Hoboken, NJ 07030-6305
Phone (732) 995-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150203000463 NJ Practitioner - Emergency Medicine 8527297019 Reassigns benefits to 2 organizations
I20201203001892 CA Practitioner - Emergency Medicine 8527297019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
97.16 of 100Reported as group
Quality
91.91
Improvement activities
40
Cost
79.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oroville Hospital CurrentSince Oct 7, 2020 Accepting new patients
University Physician Associates of New Jersey Inc Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
San Francisco Emergency Medical Associates Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Oroville Hospital CurrentSince Oct 7, 2020 Accepting new patients
University Physician Associates of New Jersey Inc Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

2767 Olive Hwy
Ste 12
Oroville, CA 95966
Phone (530) 532-8260

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Organizations & group practices 6

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1053744664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MADISON ST",
            "address_2": "APT A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306305",
            "telephone_number": "732-995-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "address_2": "RUTGERS UNIVERSITY HOSPITAL EMERGENCY DEPT.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLA FAVE",
        "first_name": "ALBERT",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09592100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.