Individual provider Active NPI

Michael Vincent Macri, MD

  • Family Medicine Physician
  • Westwood, NJ
National Provider Identifier
1497864052
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
10 Fairview Ave
Westwood, NJ 07675-2225
Phone
(201) 358-2922
Fax
(201) 358-9540
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NJ Primary

Addresses

Primary practice location

10 Fairview Ave
Westwood, NJ 07675-2225

Mailing address

10 Fairview Ave
Westwood, NJ 07675-2225
Phone (201) 358-2922

Other identifiers 6

IdentifierTypeStateIssuer
6329877OtherCIGNA
F12689OtherHEALTH NET
PP212OtherOXFORD
0110500OtherGHI PPO
936984OtherAETNA HMO
4508781OtherAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190111002509 NY Practitioner - Family Practice 3870514623 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAD5874200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RLD Medical Services, PC CurrentSince Aug 1, 2020 Accepting new patients
Teaneck Emergency Physicians PA Past Accepting new patients
Michael V. Macri, M.D., P.C. Family Medicine PastSince Sep 15, 1994 Accepting new patients
Englewood Medical Associates Inc Past Accepting new patients
Neurological Associates of East Bergen, PA Past Accepting new patients

Locations

428 State Route 146
Altamont, NY 12009
Phone (518) 861-5141

45 S Route 9W
Ste 41
West Haverstraw, NY 10993
Phone (845) 428-9006

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1497864052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRVIEW AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752225",
            "telephone_number": "201-358-2922",
            "fax_number": "201-358-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRVIEW AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752225",
            "telephone_number": "201-358-2922",
            "fax_number": "201-358-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRI",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6329877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "F12689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "PP212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0110500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "936984",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4508781",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.