Individual provider Active NPI

Edwin A Amirata, M.D.

  • Surgery Physician
  • Belleville, NJ
National Provider Identifier
1437227600
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA05755800 Issued in NJ
Practice address
5 Franklin Ave
Suite 406
Belleville, NJ 07109-3532
Phone
(973) 759-4499
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA05755800 NJ Primary

Addresses

Primary practice location

5 Franklin Ave
Suite 406
Belleville, NJ 07109-3532

Mailing address

5 Franklin Ave
Suite 406
Belleville, NJ 07109-3532
Phone (973) 759-4499

Other identifiers 1

IdentifierTypeStateIssuer
6527507MedicaidNJ

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
I20110323000923 NJ Practitioner - General Surgery 2062465768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tufts University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amirata Surgical AssociatesGroup PAC ID 5799738498, 2 clinicians

Practice addresses (Care Compare)

5 Franklin Ave
Suite 406
Belleville, NJ 07109-3504
Phone (973) 759-4499

Hospital & facility affiliations

  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)22
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Surgical Associates LLC Surgery CurrentSince Aug 28, 2010 Accepting new patients
Amirata Surgical Associates Surgery CurrentSince Mar 30, 1995 Accepting new patients

Locations

5 Franklin Ave
Ste 406
Belleville, NJ 07109
Phone (973) 759-4490

Interoperability endpoints

  • Direct secure messaging: eamirata260283@epicdirect.rwjbh.org

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 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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1437227600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE",
            "address_2": "SUITE 406",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093532",
            "telephone_number": "973-759-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE",
            "address_2": "SUITE 406",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093532",
            "telephone_number": "973-759-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRATA",
        "first_name": "EDWIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA05755800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6527507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.