Individual provider Active NPI

Andrew McGinniss, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Newark, NJ
National Provider Identifier
1124414826
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
90 Bergen St
Newark, NJ 07101-1709
Phone
(973) 972-5350
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

90 Bergen St
Newark, NJ 07101-1709

Mailing address

90 Bergen St
Newark, NJ 07103-2425

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
I20211102002788 NJ Practitioner - Orthopedic Surgery 3577974682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Drexel University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians
University Spine Center PCGroup PAC ID 6002986072, 10 clinicians

Practice addresses (Care Compare)

11 Getty Ave
BLDG 275
Paterson, NJ 07503-2806
Phone (973) 754-2078

504 Valley Rd
Suite 203
Wayne, NJ 07470-3534
Phone (973) 686-0700

915 Clifton Ave
Clifton, NJ 07013-2725
Phone (973) 686-0700

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Spine Center PC CurrentSince Aug 1, 2021 Accepting new patients
St Josephs Medical Group PC CurrentSince Oct 7, 2022 Accepting new patients
University Spine Center, P.C. CurrentSince Aug 1, 2021 Accepting new patients
Arash Emami, M.D.,PC Past Accepting new patients

Locations

915 Clifton Ave
Ste 203
Clifton, NJ 07013

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

11 Getty Ave BLDG 275
BLDG 275
Paterson, NJ 07503
Phone (973) 247-1666

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

504 Valley Rd
Ste 2
Wayne, NJ 07470
Phone (973) 686-0700

504 Valley Rd
Ste 203
Wayne, NJ 07470
Phone (973) 686-0700

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Interoperability endpoints

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

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1124414826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071011709",
            "telephone_number": "973-972-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNISS",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.