Active NPI
Frank M Candido, MD
- Gastroenterology Physician
- River Vale, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA03399200
- Practice address
- 645 Westwood Ave
River Vale, NJ 07675-6295 - Phone
- (201) 265-4050
- Fax
- (201) 666-4108
- NPI assigned
- Sep 7, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA03399200 | NJ | |
| Gastroenterology Physician | 207RG0100X | MA33992 | NJ | |
| Gastroenterology Physician | 207RG0100X | 25MA03399200 | NJ | Primary |
Addresses
Primary practice location
645 Westwood Ave
River Vale, NJ 07675-6295
Mailing address
645 Westwood Avenue
River Vale, NJ 07675
Phone (201) 265-4050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1051601 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100510000456 | NJ | Practitioner - Gastroenterology | 1951317452 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Cincinnati College of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Associates of Englewood PC
Practice addresses (Care Compare)
645 Westwood Ave
FL 2
River Vale, NJ 07675-6295
Phone (201) 666-1000
Hospital & facility affiliations
- Valley Home Care Inc.
- Englewood Hospital and Medical Center
- Hackensack Meridian Health Pascack Valley Medical
- Valley Hospital
- Woodcliff Lake Health & Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 22 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03399200 | NJ | MD | Internal Medicine Physician |
| MA33992 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Multi-Specialty | Current | Accepting new patients |
Locations
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
555 Kinderkamack Rd
Lowr
Oradell, NJ 07649
645 Westwood Ave
River Vale, NJ 07675
Phone (201) 666-9100
645 Westwood Ave
Fl 2
River Vale, NJ 07675
Phone (201) 666-1000
Interoperability endpoints
- fcandido235911@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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
Multi-Specialty, NJ
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
Hospital
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1376646992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 WESTWOOD AVENUE",
"city": "RIVER VALE",
"state": "NJ",
"postal_code": "07675",
"telephone_number": "201-265-4050",
"fax_number": "201-666-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 WESTWOOD AVE",
"city": "RIVER VALE",
"state": "NJ",
"postal_code": "076756295",
"telephone_number": "201-265-4050",
"fax_number": "201-666-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDIDO",
"first_name": "FRANK",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03399200",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "MA33992",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA03399200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1051601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in River Vale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.