Deirdre A McGagh, R-PAC
Individual provider Active NPI Surgical Physician Assistant · Belleville, NJ
NPI 1407957889 · NPPES record last updated Apr 24, 2008
Key facts
- NPI
- 1407957889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 25MP00152200 (NJ)
- Practice address
- 5 Franklin Ave Ste 302
Belleville, NJ 07109-3522 - Phone
- (973) 759-9000
- Fax
- (973) 751-3730
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CCG Medical Group LLC
Practice addresses (Care Compare)
433 Central Ave
Westfield, NJ 07090-2520
Phone (973) 759-9000
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.56 of 100
- Quality
- 40.5
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 73.88
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060407000575 | NJ | Practitioner - Physician Assistant | 7618949322 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008577 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current |
Accepting new patients | |
| Barnabas Health Medical Group PC | Current |
Accepting new patients | |
| CCG Medical Group LLC | Current |
Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Past | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
5 Franklin Ave
Ste 302
Belleville, NJ 07109
Phone (973) 759-1221
1401 Broad St
Clifton, NJ 07013
240 Williamson St
Elizabeth, NJ 07202
Phone (908) 353-5551
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
95 Madison Ave
Ste 109
Morristown, NJ 07960
Phone (973) 538-8336
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
Fl 4
Newark, NJ 07112
Phone (973) 926-7205
788 Broad St
#1
Shrewsbury, NJ 07702
788 Broad St
Shrewsbury, NJ 07702
649 Morris Ave
Springfield, NJ 07081
Phone (973) 795-7955
673 Morris Ave
Ste 201
Springfield, NJ 07081
Phone (212) 241-2087
433 Central Ave
Fl 2
Westfield, NJ 07090
Phone (973) 302-8700
433 Central Ave
Westfield, NJ 07090
Interoperability endpoints
- dmcgagh208281@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00152200 | NJ | Yes |
Addresses
Primary practice location
5 Franklin Ave Ste 302
Belleville, NJ 07109-3522
Mailing address
433 Central Ave
Westfield, NJ 07090-2520
Phone (973) 759-9000
Other providers in Belleville, NJ
- Kara Magee Maxsimic
- Angelica Luz Maysonet
- MC Surgical Expertise LLC
- Stephanie C McCarthy
- Angela McDowell
- Jeanne McMahon
- Matthew McQueen
- Medbox Drugs Inc
- Medbox Inc
- Medbox Pharmacy LLC
All providers in Belleville, NJ · Surgical Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.