Active NPI
Patrick St. George Anderson, MD
- Gynecologic Oncology Physician
- South Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 25MA07363800
- Practice address
- 120 Irvington Ave
South Orange, NJ 07079-1904 - Phone
- (973) 762-7270
- Fax
- (973) 762-1980
- NPI assigned
- Jun 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 25MA07363800 | NJ | Primary |
Addresses
Primary practice location
120 Irvington Ave
South Orange, NJ 07079-1904
Mailing address
120 Irvington Ave
South Orange, NJ 07079-1904
Phone (973) 762-7270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA07363800 | Other | NJ | MEDICAL LICENSES NUMBER |
| 9003703 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Rutgers New Jersey Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 467-9282
Hospital & facility affiliations
- Newark Beth Israel Medical Center
- Trinitas Regional Medical Center
- JFK University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Bronxcare Health System | Gynecologic Oncology | Past | Accepting new patients |
| Newark Beth Israel Medical Center Inc | Past | Accepting new patients |
Locations
50 Union Ave
Fl 2
Irvington, NJ 07111
Phone (862) 339-0005
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
201 Lyons Ave
Ste L4
Newark, NJ 07112
Phone (973) 926-7205
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
120 Irvington Ave
South Orange, NJ 07079
Phone (973) 275-0025
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Interoperability endpoints
- panderson230091@epicdirect.rwjbh.org
Organizations & group practices 5
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1134129802
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1770583999
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1790785913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1376548925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 IRVINGTON AVE",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791904",
"telephone_number": "973-762-7270",
"fax_number": "973-762-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 IRVINGTON AVE",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791904",
"telephone_number": "973-762-7270",
"fax_number": "973-762-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "PATRICK",
"middle_name": "ST. GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-19",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NJ",
"license": "25MA07363800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSES NUMBER",
"identifier": "25MA07363800",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9003703",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.