Active NPI
John J Villa, DO
- Pulmonary Disease Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MB55796
- Practice address
- 211 Essex St
Hackensack, NJ 07601-3231 - Phone
- (201) 498-1311
- Fax
- (201) 498-1312
- NPI assigned
- Nov 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MB55796 | NJ | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MB55796 | NJ |
Addresses
Primary practice location
211 Essex St
Hackensack, NJ 07601-3231
Mailing address
452 Old Hook Rd
2ND Floor
Emerson, NJ 07630-1381
Phone (201) 666-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7230001 | 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 Compare- Specialty
- Pulmonary Disease
- Education
- Rowan University School of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Essex St
Hackensack, NJ 07601-3231
Phone (201) 498-1311
Hospital & facility affiliations
- Hackensack University Medical Center
- Englewood Hospital and Medical Center
- Holy Name Medical Center
- Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB55796 | NJ | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Primary Care PC | Past | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
452 Old Hook Rd
Fl 2
Emerson, NJ 07630
Phone (201) 599-1336
30 Prospect Ave
Lowr
Hackensack, NJ 07601
Phone (551) 996-2335
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
211 Essex St
Hackensack, NJ 07601
Phone (201) 343-2050
211 Essex St
Ste 302
Hackensack, NJ 07601
Phone (201) 343-8757
30 Prospect Ave
#C
Hackensack, NJ 07601
Phone (201) 996-2335
Interoperability endpoints
- john.villa@direct.hackensackmeridian.org
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/IHJHBD
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1144309147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 OLD HOOK RD",
"address_2": "2ND FLOOR",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076301381",
"telephone_number": "201-666-3900",
"fax_number": "201-261-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 ESSEX ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076013231",
"telephone_number": "201-498-1311",
"fax_number": "201-498-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "MB55796",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NJ",
"license": "MB55796",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7230001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.