NPIMap

Individual provider Active NPI

Todd David Pascarelli, MD

  • Internal Medicine Physician
  • Rochelle Park, NJ
National Provider Identifier
1316026255
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA55869 Issued in NJ
Practice address
96 Parkway
Rochelle Park Medical Center PA
Rochelle Park, NJ 07662
Phone
(201) 291-1010
Fax
(201) 587-0313
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA55869 NJ Primary

Addresses

Primary practice location

96 Parkway
Rochelle Park Medical Center PA
Rochelle Park, NJ 07662

Mailing address

96 Parkway
Rochelle Park Medical Center PA
Rochelle Park, NJ 07662

Other identifiers 2

IdentifierTypeStateIssuer
1316026255OtherNJNPI
5040001MedicaidNJ

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
I20050624000029 NJ Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 6507801131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

96 Pkwy
BLDG B
Rochelle Park, NJ 07662-4200
Phone (201) 291-1010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA55869NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

96 Parkway
Bldg B
Rochelle Park, NJ 07662
Phone (201) 291-1010

336 W Passaic St
Ste 4
Rochelle Park, NJ 07662
Phone (201) 291-1010

Interoperability endpoints

  • Direct secure messaging: tpascarelli236700@direct.englewoodhealth.org

Organizations & group practices 1

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 9

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1316026255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 PARKWAY",
            "address_2": "ROCHELLE PARK MEDICAL CENTER PA",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "07662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 PARKWAY",
            "address_2": "ROCHELLE PARK MEDICAL CENTER PA",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "07662",
            "telephone_number": "201-291-1010",
            "fax_number": "201-587-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCARELLI",
        "first_name": "TODD",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA55869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316026255",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5040001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

Verify at the official NPI Registry.