Annamma George, NP – Nurse Practitioner

Key facts

NPI: 1205220910
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: 26NJ00534600 (NJ)
Practice address: 140 Franklin Tpke Ste 6a
Waldwick, NJ 07463-1836
Phone: (201) 447-3603
Fax: (201) 447-5184
NPI assigned: Mar 20, 2015
Sex: Female
Sole proprietor: No

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.

Valley Physician Services PC Internal Medicine Physician · Paramus, NJ · NPI 1467815928

Medicare reassignment Care Compare group NPD NJ
Endocrinology and Diabetes Associates, LLC Endocrinology, Diabetes & Metabolism Physician · Fort Lee, NJ · NPI 1528209087

NPD (past)

Hospital & facility affiliations 1

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

The Valley Hospital Inc. General Acute Care Hospital · Paramus, NJ · NPI 1013912633

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2014
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Valley Physician Services PC (593 clinicians)

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

Hospital & facility affiliations

Valley Hospital Hospital · Paramus, NJ · CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score: 95.05 of 100 (apm)
Quality: 85.71
Promoting interoperability: 100
Improvement activities: 40

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: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20211018000209	NJ	Practitioner - Nurse Practitioner	4183022403	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Valley Physician Services PC		Current since Oct 1, 2021	Accepting new patients
Endocrinology and Diabetes Associates, LLC		Past since Mar 1, 2009	Accepting new patients

Locations

140 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 447-3603

140 Franklin Tpke
Ste 6A
Waldwick, NJ 07463
Phone (201) 447-3603

333 Old Hook Rd
Ste 103
Westwood, NJ 07675
Phone (201) 820-4646

Interoperability endpoints

Direct secure messaging: annamma.george.1@5622.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	26NJ00534600	NJ	Yes

Addresses

Primary practice location

140 Franklin Tpke Ste 6a
Waldwick, NJ 07463-1836

Mailing address

140 Franklin Tpke Ste 6a
Waldwick, NJ 07463-1836
Phone (201) 447-3603

Other providers in Waldwick, NJ

All providers in Waldwick, NJ · Nurse Practitioner 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 Sep 21, 2021. 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.

Verify at the official NPI Registry.