Active NPI
Vincent Paul Retirado, MD
- Emergency Medicine Physician
- Denville, NJ
National Provider Identifier
1104987932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MT182905
- Practice address
- 25 Pocono Rd
Department of Emergency Medicine, St. Clare'S Hospital
Denville, NJ 07834-2954 - Phone
- (973) 989-3396
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MT182905 | PA | Primary |
Addresses
Primary practice location
25 Pocono Rd
Department of Emergency Medicine, St. Clare'S Hospital
Denville, NJ 07834-2954
Mailing address
25 Pocono Rd
Department of Emergency Medicine, St. Clare'S Hospital
Denville, NJ 07834-2954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0135178 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.47 of 100
- Quality
- 87.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT182905 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Emergency Physicians Associates LLC | Emergency Medicine | Current | Accepting new patients |
Locations
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Denville, NJ
- NPI 1508664871
-
- Emergency Medicine Physician
- Denville, NJ
- NPI 1366517856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1104987932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 POCONO RD",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE, ST. CLARE'S HOSPITAL",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 POCONO RD",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE, ST. CLARE'S HOSPITAL",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342954",
"telephone_number": "973-989-3396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETIRADO",
"first_name": "VINCENT",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MT182905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0135178",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.