Individual provider Active NPI

Jeffrey Joseph Fossati, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Paramus, NJ
National Provider Identifier
1093875015
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MA061133 Issued in NJ
Practice address
37 W Century Rd
Suite 111
Paramus, NJ 07652-1409
Phone
(201) 262-2244
Fax
(201) 262-2246
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MA061133 NJ Primary

Addresses

Primary practice location

37 W Century Rd
Suite 111
Paramus, NJ 07652-1409

Mailing address

37 W Century Rd
Suite 111
Paramus, NJ 07652-1409
Phone (201) 262-2244

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
I20111014000154 NJ Practitioner - Physical Medicine and Rehabilitation 0345412425 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Care LLCGroup PAC ID 6305383670, 3 clinicians
Suburban Orthopaedic Medical Center, LLCGroup PAC ID 6901820091, 3 clinicians

Practice addresses (Care Compare)

37 W Century Rd
Paramus, NJ 07652-1466
Phone (201) 292-8500

554 Bloomfield Ave
Newark, NJ 07107-1338
Phone (973) 483-2277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061133NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Care LLC CurrentSince Nov 11, 2024 Accepting new patients
Musculoskeletal Institute LLC Physical Medicine & Rehabilitation CurrentSince Mar 1, 2026 Accepting new patients
Professional Medical Rehabilitation PA Physical Medicine & Rehabilitation CurrentSince Aug 20, 2011 Accepting new patients
Bergen Pain Management PC CurrentSince Feb 6, 2019 Accepting new patients
Suburban Orthopaedic Medical Center, LLC Physical Medicine & Rehabilitation CurrentSince Nov 1, 2002 Accepting new patients
Northern New Jersey Pain and Rehabilitation Center, Inc. Past Accepting new patients
Back & Neck Pain Associates Past Accepting new patients

Locations

29 Smull Ave
Caldwell, NJ 07006
Phone (973) 340-3334

214 State St
Ste 203
Hackensack, NJ 07601
Phone (201) 968-1200

554 Bloomfield Ave
Newark, NJ 07107
Phone (973) 483-2277

37 W Century Rd
Ste 111
Paramus, NJ 07652
Phone (201) 262-2244

37 W Century Rd
Ste 105A
Paramus, NJ 07652
Phone (201) 292-8500

37 W Century Rd
Ste 101
Paramus, NJ 07652
Phone (201) 634-9000

30 W Century Rd
Ste 215
Paramus, NJ 07652
Phone (201) 262-2244

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIDGDD/Endpoint/JIDGDD

Organizations & group practices 7

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1093875015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD",
            "address_2": "SUITE 111",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521409",
            "telephone_number": "201-262-2244",
            "fax_number": "201-262-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD",
            "address_2": "SUITE 111",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521409",
            "telephone_number": "201-262-2244",
            "fax_number": "201-262-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSSATI",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA061133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.