Individual provider Active NPI

Valery Vera-Connolly, M.D.

  • Family Medicine Physician
  • Verona, NJ
National Provider Identifier
1548622368
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10709100 Issued in NJ
Practice address
799 Bloomfield Ave Ste 201
Verona, NJ 07044-1301
Phone
(973) 746-7050
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 25MA10709100 NJ Primary

Addresses

Primary practice location

799 Bloomfield Ave Ste 201
Verona, NJ 07044-1301

Mailing address

799 Bloomfield Ave Ste 201
Verona, NJ 07044-1301
Phone (973) 746-7050

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
I20191220002253 NJ Practitioner - Family Practice 4183058381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiology LLCGroup PAC ID 5597751735, 29 clinicians

Practice addresses (Care Compare)

65 Ridgedale Ave
Cedar Knolls, NJ 07927-1313
Phone (973) 401-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55.5 of 100Reported as group
Quality
61.77
Promoting interoperability
0
Improvement activities
40
Cost
73.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10709100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiology, LLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Practice Associates Medical Group Family Medicine PastSince Jul 9, 2018 Accepting new patients

Locations

65 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (908) 979-1302

117 Seber Rd
Ste 1B
Hackettstown, NJ 07840
Phone (908) 979-1302

340 Speedwell Ave
Morris Plains, NJ 07950
Phone (973) 267-9899

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1548622368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 BLOOMFIELD AVE STE 201",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441301",
            "telephone_number": "973-746-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 BLOOMFIELD AVE STE 201",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441301",
            "telephone_number": "973-746-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA-CONNOLLY",
        "first_name": "VALERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10709100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.