Gregg L Fortino, MD
Individual provider Active NPI Cardiovascular Disease Physician · Haddon Heights, NJ
NPI 1245282995 · NPPES record last updated Dec 10, 2007
Key facts
- NPI
- 1245282995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 25MA06066300 (NJ)
- Practice address
- 210 W Atlantic Ave
Haddon Heights, NJ 08035-1715 - Phone
- (856) 547-0539
- Fax
- (856) 547-3178
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiovascular Associates of the Delaware Valley,P a
Practice addresses (Care Compare)
210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003
Hospital & facility affiliations
- West Jersey Hospital
- Jefferson Stratford Hospital
- Cooper University Hospital
- Inspira Medical Center Mullica Hill
- Virtua Our Lady of Lourdes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.34 of 100
- Quality
- 78.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.34
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 |
|---|---|---|---|---|
| I20050907000483 | NJ | Practitioner - Cardiovascular Disease (Cardiology) |
5092797167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Cardiac Interpretation Services, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Lourdes Cardiology Services | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- gregg.fortino.p1@direct.hearthousenj.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA06066300 | NJ | Yes |
Addresses
Primary practice location
210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Mailing address
120 White Horse Pike
Suite 112
Haddon Heights, NJ 08035-1927
Phone (856) 547-0539
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6299903 | Medicaid | NJ |
Other providers in Haddon Heights, NJ
- Scott H Fertels
- Mark Fisher
- Kevin Martin Fleming
- Heather Foley
- Foot Health Center, P.a.
- Gaitway Rehab and Performance
- Anthony Phillip Galzerano
- Shveta V Gandhi
- Parisa M. Garrett
- Maria Theresa Geiger
All providers in Haddon Heights, NJ · Cardiovascular Disease 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 Dec 10, 2007. 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.