Anthony A Depaola, DO
Individual provider Active NPI Internal Medicine Physician · Branchville, NJ
NPI 1194711028 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1194711028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MB06000100 (NJ)
- Practice address
- 202 Route 206 N
Suite a
Branchville, NJ 07826-5082 - Phone
- (973) 948-5577
- Fax
- (973) 948-0067
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Rutgers New Jersey Medical School, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Premier Health Associates LLC
Practice addresses (Care Compare)
123 Newton Sparta Rd
Newton, NJ 07860-2769
Phone (973) 579-6300
715 Route 10 E
Randolph, NJ 07869-2025
Phone (973) 343-7040
89 Sparta Ave
Sparta, NJ 07871-1777
Phone (973) 209-1550
89 Sparta Ave
Suite 100
Sparta, NJ 07871-1790
Phone (973) 729-2121
Hospital & facility affiliations
- Atlantic Visiting Nurse
- Morristown Medical Center
- Newton Medical Center
- Wayne Memorial Hospital
- Bon Secours Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.05 of 100
- Quality
- 65.09
- Promoting interoperability
- 85
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050621000297 | NJ | Practitioner - Internal Medicine | 5496644197 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB06000100 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Associates, LLC | Current |
Accepting new patients | |
| Sparta Medical Associates, P.a. | Internal Medicine | Current | Accepting new patients |
| Premier Health Associates LLC | Internal Medicine | Current |
Accepting new patients |
Locations
202 US Highway 206
Branchville, NJ 07826
129 Morris Tpke
Newton, NJ 07860
Phone (973) 948-5400
123 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 579-1000
175 High St
Newton, NJ 07860
Phone (973) 383-2121
202 Route 206
Ste A
Sandyston, NJ 07826
Phone (973) 948-5577
21 Lafayette Rd
Ste C
Sparta, NJ 07871
Phone (973) 729-0291
532 Lafayette Rd
Ste 300
Sparta, NJ 07871
Phone (973) 940-0423
Interoperability endpoints
- anthonydepaola@premiernj.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/EDJHBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MB06000100 | NJ | Yes |
Addresses
Primary practice location
202 Route 206 N
Suite a
Branchville, NJ 07826-5082
Mailing address
532 Lafayette Rd
Suite 300
Sparta, NJ 07871-4411
Phone (973) 940-0423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6962904 | Medicaid | NJ |
Other providers in Branchville, NJ
- Thomas Kenneth Charles
- Lauren Cherny
- Megan Christine Cody
- Maria S Cunico
- Danny'S World LLC
- John Thomas Diffily
- Grace Engels
- Evermay at Branchville, LLC
- Frankford TWP BD of Educ
- Courtney Elann Gardepe
All providers in Branchville, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.