Individual provider Active NPI

Armand P Fasano, M.D.

  • Ophthalmology Physician
  • West New York, NJ
National Provider Identifier
1467487736
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06272000 Issued in NJ
Practice address
229 60TH St
West New York, NJ 07093-2805
Phone
(201) 869-0707
Fax
(201) 861-8878
NPI assigned
Jul 12, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA06272000 NJ Primary

Addresses

Primary practice location

229 60TH St
West New York, NJ 07093-2805

Mailing address

1255 Broad St
Ste 104
Bloomfield, NJ 07003-2805
Phone (197) 370-7705

Other identifiers 1

IdentifierTypeStateIssuer
6697402MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afasano@retinanj.intellechartdirect.net Eye Centers Of America, LLC

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
I20050823000437 NJ Practitioner - Ophthalmology 0446281166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

229 60TH St
West New York, NJ 07093-2805
Phone (201) 869-0707

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06272000NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC Ophthalmology CurrentSince Oct 9, 2018 Accepting new patients

Locations

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

229 60th St
West New York, NJ 07093
Phone (201) 863-0665

Interoperability endpoints

  • Direct secure messaging: afasano@fasano.intellechartdirect.net
  • Direct secure messaging: armand.fasano.1@3162.direct.athenahealth.com

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467487736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 BROAD ST",
            "address_2": "STE 104",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032805",
            "telephone_number": "197-370-7705",
            "fax_number": "201-861-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932805",
            "telephone_number": "201-869-0707",
            "fax_number": "201-861-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANO",
        "first_name": "ARMAND",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06272000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6697402",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afasano@retinanj.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Centers Of America, LLC",
            "address_1": "229 60th St",
            "city": "West New York",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070932805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.