Active NPI
John Frattarola, MD
- Specialist
- Teaneck, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03819000
- Practice address
- 870 Palisade Ave
Teaneck, NJ 07666-3419 - Phone
- (201) 907-0900
- Fax
- (201) 907-0229
- NPI assigned
- Mar 24, 2006
- Last updated
- Jun 10, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03819000 | NJ | Primary |
Addresses
Primary practice location
870 Palisade Ave
Teaneck, NJ 07666-3419
Mailing address
870 Palisade Ave
Teaneck, NJ 07666-3419
Phone (201) 907-0900
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0073913000 | Other | NJ | AMERIHEALTH ID # |
| 1160888 | Other | NJ | HORIZON NJ HEALTH |
| 160041568 | Other | NJ | RAILROAD MEDICARE |
| 24464 | Other | NJ | AMERICAID AMERIGROUP |
| 17258 | Other | NJ | UNIVERSITY HEALTH PLANS |
| 1042435 | Other | NJ | HORIZON NJ HEALTH ID # |
| 3287203 | Medicaid | NJ | |
| 2K1111 | Other | NJ | HEALTHNET |
| 560039 | Other | NJ | AETNA HMO ID # |
| 4401167 | Other | NJ | AETNA PPO ID # |
| BP355 | Other | NJ | OXFORD ID # |
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
- Obstetrics/Gynecology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
870 Palisade Ave
Suite 301
Teaneck, NJ 07666-3446
Phone (201) 907-0900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03819000 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Name Medical Associates, PC | Current | Accepting new patients | |
| Excelcare Medical Associates, PA | Past | Accepting new patients |
Locations
71 Union Ave
Ste 101
Rutherford, NJ 07070
Phone (201) 933-4775
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
870 Palisade Ave
Teaneck, NJ 07666
Phone (201) 907-0900
870 Palisade Ave
Ste 301
Teaneck, NJ 07666
Phone (201) 907-0900
Interoperability endpoints
- frattarola@whcgnj.ssdirect.aprima.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Teaneck, NJ
- NPI 1427407600
-
- Obstetrics & Gynecology Physician
- Teaneck, NJ
- NPI 1790720449
-
- Internal Medicine Physician
- Teaneck, NJ
- NPI 1992736300
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1609836592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 PALISADE AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663419",
"telephone_number": "201-907-0900",
"fax_number": "201-907-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 PALISADE AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663419",
"telephone_number": "201-907-0900",
"fax_number": "201-907-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRATTAROLA",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03819000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ID #",
"identifier": "0073913000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1160888",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160041568",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID AMERIGROUP",
"identifier": "24464",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLANS",
"identifier": "17258",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH ID #",
"identifier": "1042435",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3287203",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K1111",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO ID #",
"identifier": "560039",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO ID #",
"identifier": "4401167",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID #",
"identifier": "BP355",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.