Individual provider Active NPI

Renato C. Miguel, M.D.

  • Anesthesiology Physician
  • Saddle River, NJ
National Provider Identifier
1073554549
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Practice address
100 W Saddle River Rd
Saddle River, NJ 07458-3020
Phone
(201) 962-8731
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NJ Primary

Addresses

Primary practice location

100 W Saddle River Rd
Saddle River, NJ 07458-3020

Mailing address

100 W Saddle River Rd
Saddle River, NJ 07458-3020
Phone (201) 962-8731

Other identifiers 1

IdentifierTypeStateIssuer
3731707MedicaidNJ

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
I20050726000009 NJ Practitioner - Anesthesiology 2769419308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essex Gastro Associates, PAGroup PAC ID 2668447939, 5 clinicians

Practice addresses (Care Compare)

275 Chestnut St
Suite 6
Newark, NJ 07105-1570
Phone (973) 589-5545

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
88.93
Improvement activities
40
Cost
90.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA9650309NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Feb 22, 2023 Accepting new patients
Essex Gastro Associates, PA CurrentSince Mar 20, 2021 Accepting new patients
Montclair Anesthesia Associates, P.C. Anesthesiology Past Accepting new patients
Saddlebrook Anesthesia Services, P.C. Anesthesiology Past Accepting new patients
Essex Endoscopy Center LLC PastSince Mar 20, 2021 Accepting new patients

Locations

275 Chestnut St
Newark, NJ 07105
Phone (973) 274-1901

275 Chestnut St
Ste 6
Newark, NJ 07105
Phone (973) 589-5545

272 Main St
#B
Orange, NJ 07050

200 Broadway
Ste 3149
Brooklyn, NY 11211

Organizations & group practices 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1073554549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SADDLE RIVER RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583020",
            "telephone_number": "201-962-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SADDLE RIVER RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583020",
            "telephone_number": "201-962-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEL",
        "first_name": "RENATO",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3731707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle River, NJ

Sources for this page

Verify at the official NPI Registry.