NPIMap

Individual provider Active NPI

Alfred M Fam, M.D.

  • Anesthesiology Physician
  • Hackensack, NJ
National Provider Identifier
1295013225
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08969400 Issued in NJ
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1914
Phone
(201) 996-2000
NPI assigned
Jul 25, 2011
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08969400 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601-1914

Mailing address

57 Gravel Hill Spotswood Rd
Monroe, NJ 08831-8826
Phone (732) 277-0769

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address afam78342@directvirtua.org
Direct Messaging Address afam78342@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000126 NJ Practitioner - Anesthesiology 6103091780 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians
Morris Anesthesia Group PAGroup PAC ID 4284628645, 34 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

18 Church St
Newton, NJ 07860-1756
Phone (856) 346-7832

25 Pocono Rd
Denville, NJ 07834-2954
Phone (833) 783-1796

99 Hwy 37 W
Community Medical Center
Toms River, NJ 08755-6423
Phone (732) 557-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Oct 3, 2011 Accepting new patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Mar 20, 2022 Accepting new patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Jan 13, 2020 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Dec 21, 2024 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Dec 31, 2018 Accepting new patients
Virtua Medical Group, PA Anesthesiology Current Accepting new patients
Rwjbh Observation Associates LLC Anesthesiology CurrentSince Mar 3, 2024 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Dec 21, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 30, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 30, 2023 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

175 Madison Ave
Fl 2
Mount Holly, NJ 08060
Phone (609) 914-6198

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

18 Church St
Newton, NJ 07860
Phone (973) 570-4049

1907 Highway 35
Ste 9
Oakhurst, NJ 07755
Phone (732) 517-0060

44 State Rt 23
Ste 1
Riverdale, NJ 07457
Phone (973) 248-1550

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: afam189642@ahs.direct-ci.com
  • Direct secure messaging: afam78342@directvirtua.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1295013225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 GRAVEL HILL SPOTSWOOD RD",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088318826",
            "telephone_number": "732-277-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAM",
        "first_name": "ALFRED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08969400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afam78342@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 2",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afam78342@directvirtua.org",
            "affiliation": "N",
            "address_1": "218A Sunset Rd",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.