Active NPI
Vincent George Fietti Jr., M.D.
- Orthopaedic Surgery Physician
- Clifton, NJ
National Provider Identifier
1467484923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 32659
- Practice address
- 1060 Clifton Ave
Clifton, NJ 07013-3638 - Phone
- (973) 779-7361
- Fax
- (973) 779-7385
- NPI assigned
- Jul 7, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA03265900 | NJ | |
| Orthopaedic Surgery Physician | 207X00000X | 32659 | NJ | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 117102-1 | NY |
Addresses
Primary practice location
1060 Clifton Ave
Clifton, NJ 07013-3638
Mailing address
1060 Clifton Ave
Clifton, NJ 07013-3638
Phone (973) 779-7361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1243004 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031111000311 | NJ | Practitioner - Orthopedic Surgery | 1557274974 | Practice locations: Clifton, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32659 | NJ | MD | Orthopaedic Surgery Physician |
| MA03265900 | NJ | MD | Orthopaedic Surgery Physician |
| 117102-1 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles a Murkofsky MD PC | Past | Accepting new patients | |
| St Lukes Roosevelt Community Care | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
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- New York, NY
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- New York, NY
- NPI 1871863506
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1467484923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133638",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133638",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIETTI",
"first_name": "VINCENT",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA03265900",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "32659",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "117102-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1243004",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.