Maria Boccaletti Viscuso, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA04319400 Issued in NJ

Practice address

2 Hedden Terrace
North Arlington, NJ 07031-6109

Phone

(201) 991-5353

Fax

(201) 991-0587

NPI assigned

Jul 28, 2006

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

West Hudson Pulmonary Associates CorpcGroup PAC ID 1951456060, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
• Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mviscuso46234@epicdirect.rwjbh.org

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.

• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501

  Family Medicine

  Medicare reassignment Care Compare group NPD
• West Hudson Pulmonary Associates Corpc

  • Pulmonary Disease Physician
  • Kearny, NJ
  • NPI 1609002823
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys New Jersey LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Hackensack, NJ
  • NPI 1952402737
  Care Compare affiliation
• Kessler Institute for Rehabilitation Inc

  dba Kessler Rehabilitation Center

  • Rehabilitation Hospital
  • West Orange, NJ
  • NPI 1013919620

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1518971068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S JEFFERSON ST",
            "address_2": "STE. 1",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501562",
            "telephone_number": "973-677-3466",
            "fax_number": "973-677-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HEDDEN TERRACE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316109",
            "telephone_number": "201-991-5353",
            "fax_number": "201-991-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCUSO",
        "first_name": "MARIA",
        "middle_name": "BOCCALETTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04319400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P843368",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4219773",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K9721",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1788001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2594703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "MV033S8610",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "P843368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bharat Trivedi
• James Joseph Van Dien Jr., MSPT
• Robert Stanley Varcoe, D.M.D.
• Michael Patrick Verdon, PT
• Tanya Sofia Vilchez, AGPCNP-BC
• Walgreen Eastern Co, Inc (Walgreens #02831)
• Mark Steven Waxman, MD
• Wellness Diagnostic, LLC
• Erica Whitaker
• Marc Stuart Wiener, OD

• Family Medicine Physician in North Arlington, NJ
• Providers in North Arlington, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.