Victor Hartanto, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MA068689 Issued in NJ

Practice address

4 Godwin Avenue
Midland Park, NJ 07432

Phone

(201) 444-7070

Fax

(201) 444-7228

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

New York University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urology Group PAGroup PAC ID 7214908102, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130

Merit-based Incentive Payment System (MIPS)

Final score

85.75 of 100Reported as group

Quality

95

Improvement activities

40

Cost

59.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vhartanto189761@ahs.direct-ci.com

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.

• Urology Group PA

  • Urology Physician
  • Midland Park, NJ
  • NPI 1427012897
  Medicare reassignment Care Compare group NPD
• New York City Health and Hospitals Corporation

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pascack Valley Hospital LLC

  • General Acute Care Hospital
  • Westwood, NJ
  • NPI 1205176062
  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation
• Valley Home Care, Inc

  • Home Health Agency
  • Paramus, NJ
  • NPI 1174588925
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376679639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GODWIN AVENUE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "07432",
            "telephone_number": "201-444-7070",
            "fax_number": "201-444-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GODWIN AVENUE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "07432",
            "telephone_number": "201-444-7070",
            "fax_number": "201-444-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTANTO",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA068689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104850",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lia Hackett, APN
• Jessica Haftek, PSY.D.
• Katerine Halim
• Christina Han, LMFT
• Isabella K Hanna, OT
• Karen Hartigan, ATC
• Hisham Hashish, MD
• Christopher Henrici, L.C.S.W.
• Hi-Tech Family Dentistry
• James Leon Hill, DVM

• Urology Physician in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.