Active NPI
Armand P Fasano, M.D.
- Ophthalmology Physician
- West New York, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA06272000
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6697402 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 96.31
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 112 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06272000 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Centers of America, LLC | Ophthalmology | Current | 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
- afasano@fasano.intellechartdirect.net
- 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.
-
dba Retina Center of New Jersey
- Ophthalmology Physician
- Bloomfield, NJ
- NPI 1649563636
-
- Ophthalmology Physician
- West New York, NJ
- NPI 1972742492
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.