Individual provider Active NPI

Joaquim Jose Correia, MD

  • Cardiovascular Disease Physician
  • Newark, NJ
National Provider Identifier
1205945623
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05045300 Issued in NJ
Practice address
243 Chestnut St Ste 2L
Newark, NJ 07105-6501
Phone
(973) 589-8668
Fax
(908) 589-7996
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA05045300 NJ Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 25MA05045300 NJ

Addresses

Primary practice location

243 Chestnut St Ste 2L
Newark, NJ 07105-6501

Mailing address

140 W End PL
Cranford, NJ 07016-1720
Phone (908) 931-0730

Other identifiers 1

IdentifierTypeStateIssuer
413905MedicaidNJ

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
I20050915000014 NJ Practitioner - Cardiovascular Disease (Cardiology) 3577596055 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians
St Michaels Cardiology AssociatesGroup PAC ID 9830224153, 8 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5300

243 Chestnut St
Newark, NJ 07105-6501
Phone (973) 589-8668

268 Dr M L King Jr Blvd
Newark, NJ 07102-2011
Phone (973) 678-5700

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4800

Hospital & facility affiliations

  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

Merit-based Incentive Payment System (MIPS)

Final score
66.23 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
80.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05045300NJMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joaquim J. Correia, MD LLC Cardiovascular Disease CurrentSince Jul 1, 2001 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Sep 15, 1994 Accepting new patients
Central Avenue Professional Services, PC Cardiovascular Disease CurrentSince Apr 3, 2017 Accepting new patients
St Michaels Cardiology Associates Cardiovascular Disease CurrentSince Dec 15, 2009 Accepting new patients
Cardiology Services of Elizabeth Cardiovascular Disease Past Accepting new patients
Heart Center of Jersey, PA LLC Cardiovascular Disease Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 678-5700

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

268 Mlk Jr Blvd
Newark, NJ 07102
Phone (973) 877-2580

243 Chestnut St
Ste 2L
Newark, NJ 07105
Phone (973) 589-8668

243 Chestnut St
Newark, NJ 07105
Phone (973) 274-0200

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

81 Northfield Ave
Ste 101
West Orange, NJ 07052
Phone (973) 699-5931

Organizations & group practices 6

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 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1205945623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W END PL",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070161720",
            "telephone_number": "908-931-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHESTNUT ST STE 2L",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056501",
            "telephone_number": "973-589-8668",
            "fax_number": "908-589-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREIA",
        "first_name": "JOAQUIM",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05045300",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "25MA05045300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.