Active NPI
Joseph Michael Stinelli, PA-C
- Physician Assistant
- Englewood, NJ
National Provider Identifier
1447457791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00112900
- Practice address
- 350 Engle St
Englewood, NJ 07631-1189 - Phone
- (201) 894-3636
- Fax
- (201) 541-2188
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00112900 | NJ | Primary |
Addresses
Primary practice location
350 Engle St
Englewood, NJ 07631-1189
Mailing address
140 E Ridgewood Ave Ste 720N
Paramus, NJ 07652-3917
Phone (201) 447-8377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1356 | CO | MD | Psychologist |
| 910 | WV | MD | Clinical Psychologist |
| 25MP00112900 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Englewood Medical Associates Inc | Past | Accepting new patients | |
| Valley Physician Services, Ny, PC | Past | Accepting new patients | |
| Pridemark Paramedic Services, LLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
-
- Emergency Medicine Physician
- Englewood, NJ
- NPI 1174564421
-
- Clinical Cardiac Electrophysiology Physician
- Ridgewood, NJ
- NPI 1457626558
-
- Land Ambulance
- Arvada, CO
- NPI 1295761757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1447457791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 E RIDGEWOOD AVE STE 720N",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523917",
"telephone_number": "201-447-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311189",
"telephone_number": "201-894-3636",
"fax_number": "201-541-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINELLI",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00112900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.