NPIMap

Individual provider Active NPI

Daniel Char

  • Vascular Surgery Physician
  • Ridgewood, NJ
National Provider Identifier
1366518128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA07372800 Issued in NJ
Practice address
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Phone
(201) 444-5353
NPI assigned
Nov 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA07372800 NJ Primary
Vascular Surgery Physician 2086S0129X 205398-1 NY

Addresses

Primary practice location

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957

Mailing address

20 Carrington CT
Woodcliff Lake, NJ 07677-7855
Phone (201) 444-5353

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
I20051005000262 NJ Practitioner - General SurgeryPractitioner - Vascular Surgery 1052346350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Endovascular Therapeutics PCGroup PAC ID 2668573650, 2 clinicians

Practice addresses (Care Compare)

1124 E Ridgewood Ave
Suite 105
Ridgewood, NJ 07450-3943
Phone (201) 444-5353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal32
Leg revascularization (restoring blood flow)30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205398-1NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Endovascular Therapeutics PC Vascular Surgery CurrentSince Jul 1, 2007 Accepting new patients
Valley Surgical Assistants, LLC CurrentSince May 13, 2010 Accepting new patients
Bergen County Improvement Authority CurrentSince Apr 1, 2024 Accepting new patients
Bergen County Improvement Authority CurrentSince Apr 1, 2024 Accepting new patients

Locations

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

1200 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 327-8600

1124 E Ridgewood Ave
Ste 105
Ridgewood, NJ 07450
Phone (201) 444-5353

1124 E Ridgewood Ave
Ste 104
Ridgewood, NJ 07450
Phone (201) 444-5353

Interoperability endpoints

  • Direct secure messaging: dchar189502@ahs.direct-ci.com
  • Direct secure messaging: daniel.char.1@20779.direct.athenahealth.com

Organizations & group practices 4

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 7

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": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366518128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CARRINGTON CT",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777855",
            "telephone_number": "201-444-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-444-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAR",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA07372800",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "205398-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.