Individual provider Active NPI

Emmanuel Ayturk Aydin, M.D.

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1174524045
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06743400 Issued in NJ
Practice address
508 Hamburg Tpke
Suite 102
Wayne, NJ 07470
Phone
(973) 595-0096
Fax
(973) 595-6414
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06743400 NJ Primary

Addresses

Primary practice location

508 Hamburg Tpke
Suite 102
Wayne, NJ 07470

Mailing address

508 Hamburg Tpke
Suite 102
Wayne, NJ 07470
Phone (973) 595-0096

Other identifiers 1

IdentifierTypeStateIssuer
7615604MedicaidNJ

Other names 1

  • Ayturk Emmanuel Aydin Former name

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
I20081003000412 NJ Practitioner - Internal Medicine 0042388035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Associates of Northern Jersey, P.a.Group PAC ID 4183610520, 14 clinicians

Practice addresses (Care Compare)

22 -02 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Phone (201) 475-5050

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Atlantic Visiting Nurse Hospice, Morristown, NJ, CCN 311503
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Complete Care at Milford Manor LLC Nursing home, West Milford, NJ, CCN 315276
  • Oakland Rehabilitation and Healthcare Center Nursing home, Oakland, NJ, CCN 315171

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Heart & Vascular Associates of Northern Jersey, P.a. CurrentSince Apr 1, 2025 Accepting new patients
Complete Care at Milford Manor LLC Past Accepting new patients
Medical Associates of Englewood, PC Internal Medicine Past Accepting new patients

Locations

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410

297 Passaic St
Garfield, NJ 07026
Phone (973) 365-1338

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

183 Illinois Ave
Paterson, NJ 07503
Phone (973) 523-3400

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

508 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (973) 595-0046

69 Maple Rd
West Milford, NJ 07480
Phone (973) 697-5640

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Care at Milford Manor LLCWest Milford, NJ, CCN 315276 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 27, 2021
Dec 27, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 7

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1174524045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 102",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-595-0096",
            "fax_number": "973-595-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 102",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-595-0096",
            "fax_number": "973-595-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYDIN",
        "first_name": "EMMANUEL",
        "middle_name": "AYTURK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06743400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7615604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYTURK",
            "last_name": "AYDIN",
            "middle_name": "EMMANUEL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.