Individual provider Active NPI

Vincent Paul Retirado, MD

  • Emergency Medicine Physician
  • Denville, NJ
National Provider Identifier
1104987932
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MT182905 Issued in PA
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

Updated by the provider on May 22, 2008

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 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

IdentifierTypeStateIssuer
0135178MedicaidNJ

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
I20070808000181 NJ Practitioner - Emergency Medicine 8325139173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.47 of 100Reported as group
Quality
87.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT182905PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Emergency Physicians Associates LLC Emergency Medicine CurrentSince Jun 2, 2025 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.

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

Verify at the official NPI Registry.