Individual provider Active NPI

Tania Afonso, D.O.

  • Emergency Medicine Physician
  • Livingston, NJ
National Provider Identifier
1417210394
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB09251300 Issued in NJ
Practice address
75 E Northfield Rd
Livingston, NJ 07039-4532
Phone
(973) 436-1500
NPI assigned
Jun 16, 2012
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 265446-1 NY
Emergency Medicine Physician 207P00000X 25MB09251300 NJ Primary

Addresses

Primary practice location

75 E Northfield Rd
Livingston, NJ 07039-4532

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Other practice location 1

111 Central Ave
Newark, NJ 07102-1909
Phone (908) 670-5614

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130524000015 NJ Practitioner - Emergency MedicinePractitioner - Anesthesiology 8325298359 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Union Emergency Medical Associates LLCGroup PAC ID 0547334427, 20 clinicians
Somerset Valley Urgent Care, L.L.C.Group PAC ID 5890850069, 7 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone (954) 939-5000

470A US Hwy 202
Bedminster, NJ 07921-1559
Phone (908) 781-7171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
265446-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia Inc Emergency Medicine CurrentSince Dec 25, 2018 Accepting new patients
Summit Medical Group PA CurrentSince Apr 7, 2025 Accepting new patients
Ihpnj ER LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Union Emergency Medical Associates LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince May 1, 2013 Accepting new patients
Somerset Valley Urgent Care, L.L.C. CurrentSince Sep 6, 2023 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Dec 25, 2018 Accepting new patients
Summit Medical Group PA CurrentSince Apr 7, 2025 Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

75 E Northfield Rd
Livingston, NJ 07039
Phone (973) 436-1330

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

Interoperability endpoints

  • Direct secure messaging: tania.afonso.1@2983.direct.athenahealth.com
  • Direct secure messaging: tania.afonso@direct.christhospital.md

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1417210394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E NORTHFIELD RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394532",
            "telephone_number": "973-436-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071021909",
            "country_code": "US",
            "telephone_number": "908-670-5614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFONSO",
        "first_name": "TANIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "265446-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB09251300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.