NPIMap

Individual provider Active NPI

Fadi A El Atat, MD

  • Cardiovascular Disease Physician
  • Montclair, NJ
National Provider Identifier
1386776797
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08676700 Issued in NJ
Practice address
127 Pine St Ste 1
Montclair, NJ 07042-4868
Phone
(973) 744-4075
Fax
(973) 744-2179
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 089786 OH
Cardiovascular Disease Physician 207RC0000X 25MA08676700 NJ Primary

Addresses

Primary practice location

127 Pine St Ste 1
Montclair, NJ 07042-4868

Mailing address

127 Pine St Ste 1
Montclair, NJ 07042-4868
Phone (973) 744-4075

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
I20100201000007 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951493279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fa CV Consultants PCGroup PAC ID 0840489530, 2 clinicians

Practice addresses (Care Compare)

127 Pine St
Suite 1
Montclair, NJ 07042-4868
Phone (973) 744-4075

Hospital & facility affiliations

  • Barnabas Health Home Care and Hospice Home health agency, West Orange, NJ, CCN 317061
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Merit-based Incentive Payment System (MIPS)

Final score
25.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
089786OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fa CV Consultants PC Cardiovascular Disease CurrentSince Sep 4, 2010 Accepting new patients
Poplar Bluff Hma Physician Management, LLC Cardiovascular Disease Past Accepting new patients

Locations

1395 Clinton Ave
Ste 1K
Irvington, NJ 07111

127 Pine St
Ste 1
Montclair, NJ 07042
Phone (973) 399-1002

127 Pine St
Montclair, NJ 07042
Phone (973) 233-9559

1945 Morris Ave
Ste 8
Union, NJ 07083
Phone (908) 206-1844

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4b3fb786-b574-41dd-9f14-c2679485ee61/

Organizations & group practices 2

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 5

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386776797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PINE ST STE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424868",
            "telephone_number": "973-744-4075",
            "fax_number": "973-744-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PINE ST STE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424868",
            "telephone_number": "973-744-4075",
            "fax_number": "973-744-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL ATAT",
        "first_name": "FADI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "089786",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08676700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.