Active NPI
John R Favetta, MD
- Ophthalmology Physician
- North Arlington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA03185400
- Practice address
- 70 Ridge Rd
North Arlington, NJ 07031-6318 - Phone
- (201) 997-2332
- Fax
- (201) 997-6845
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 25MA03185400 | NJ | Primary |
Addresses
Primary practice location
70 Ridge Rd
North Arlington, NJ 07031-6318
Mailing address
1255 Broad St Ste 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3037908 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfavetta@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
- Rutgers New Jersey Medical School, 1975
- 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
204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone (973) 571-2833
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 | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Essex | Current | Accepting new patients | |
| County of Essex | Current | Accepting new patients | |
| Eye Centers of America, LLC | Ophthalmology | Current | Accepting new patients |
| County of Essex | Current | Accepting new patients | |
| County of Essex | Current | Accepting new patients |
Locations
1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632
108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331
204 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-2800
62 Ridge Rd
North Arlington, NJ 07031
Phone (201) 991-6509
70 Ridge Rd
North Arlington, NJ 07031
Phone (201) 997-2332
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.
-
- Psychiatry Physician
- Cedar Grove, NJ
- NPI 1922056118
-
- Ophthalmology Physician
- Bloomfield, NJ
- NPI 1649563636
-
- Internal Medicine Physician
- Cedar Grove, NJ
- NPI 1437107646
-
- Public Health or Welfare Agency
- Cedar Grove, NJ
- NPI 1447854443
-
- Psychologist
- Cedar Grove, NJ
- NPI 1679521892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1497861090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 BROAD ST STE 104",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033061",
"telephone_number": "973-707-5632",
"fax_number": "866-806-3675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 RIDGE RD",
"city": "NORTH ARLINGTON",
"state": "NJ",
"postal_code": "070316318",
"telephone_number": "201-997-2332",
"fax_number": "201-997-6845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVETTA",
"first_name": "JOHN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA03185400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3037908",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfavetta@retinanj.intellechartdirect.net",
"affiliation": "Y",
"affiliationName": "Eye Centers Of America, LLC",
"address_1": "70 Ridge Rd",
"city": "North Arlington",
"state": "NJ",
"country_code": "US",
"postal_code": "070316318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Arlington, 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.