NPIMap

Individual provider Active NPI

Steven Festa, MD

  • Diagnostic Radiology Physician
  • Wayne, NJ
National Provider Identifier
1467433813
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06998900 Issued in MA
Practice address
220 Hamburg Tpke
Wayne, NJ 07470-2110
Phone
(973) 904-0404
NPI assigned
Nov 10, 2005
Last updated
Dec 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA06998900 MA Primary

Addresses

Primary practice location

220 Hamburg Tpke
Wayne, NJ 07470-2110

Mailing address

PO Box 9135
Att:Sharon Silva
Brookline, MA 02446-9135
Phone (800) 927-0002

Other identifiers 1

IdentifierTypeStateIssuer
8402701MedicaidNJ

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
I20040426000246 NJ Practitioner - Diagnostic Radiology 7517953334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Subspecialists of North Jersey LLCGroup PAC ID 3577558378, 31 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 569-2621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.56 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06998900MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Subspecialists of North Jersey, LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Vita Medical Center, PC Diagnostic Radiology CurrentSince Sep 21, 2010 Accepting new patients
Alpha Scan Imaging, LLC Diagnostic Radiology Past Accepting new patients
Cranford Diagnostic Imaging PA Diagnostic Radiology Past Accepting new patients
Passaic Medical Group PA PastSince Sep 21, 2010 Accepting new patients

Locations

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

87 Berdan Ave
#2B
Wayne, NJ 07470
Phone (973) 692-9631

87 Berdan Ave
Ste 2B
Wayne, NJ 07470
Phone (973) 692-9631

Interoperability endpoints

  • Direct secure messaging: sfesta191621@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1467433813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9135",
            "address_2": "ATT:SHARON SILVA",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024469135",
            "telephone_number": "800-927-0002",
            "fax_number": "603-893-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702110",
            "telephone_number": "973-904-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTA",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "25MA06998900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8402701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.