Individual provider Active NPI

Ilya Parizh, D.O

  • Emergency Medicine Physician
  • East Hanover, NJ
National Provider Identifier
1619361995
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB10504300 Issued in NJ
Practice address
154 State Route 10
East Hanover, NJ 07936-2107
Phone
(973) 920-3090
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 293705 NY
General Practice Physician 208D00000X 293705 NY
Emergency Medicine Physician 207P00000X 25MB10504300 NJ Primary

Addresses

Primary practice location

154 State Route 10
East Hanover, NJ 07936-2107

Mailing address

25 Savin CT
Staten Island, NY 10304-4215
Phone (646) 898-6734

Other identifiers 1

IdentifierTypeStateIssuer
0684686MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190716002354 NJ Practitioner - Emergency Medicine 8123353992 Reassigns benefits to 10 organizations
I20230105001851 NY Practitioner - General Practice 8123353992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montclair Emergency Physicians LLCGroup PAC ID 2264841857, 18 clinicians
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (954) 939-5000

154 State Route 10
East Hanover, NJ 07936-2107
Phone (973) 920-3090

332 E 149TH St
Bronx, NY 10451-5627
Phone (347) 329-4010

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score
65.66 of 100Reported as individual
Quality
36.31
Improvement activities
40
Cost
73.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293705NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia Inc Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Stadium Emergency Associates CurrentSince Jul 1, 2020 Accepting new patients
Divinity Medical Services PLLC CurrentSince Aug 1, 2023 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2025 Accepting new patients
Jersey Irish Medical CurrentSince Sep 1, 2021 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
Montclair Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Hudson Premier Medical PC CurrentSince Apr 1, 2021 Accepting new patients
Fuse Medical PLLC CurrentSince Dec 28, 2021 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Liberty Physician Partners PC CurrentSince Oct 2, 2024 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

154 State Route 10
East Hanover, NJ 07936
Phone (973) 887-0216

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

65 James St
Edison, NJ 08820
Phone (732) 321-7010

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

175 High St
Newton, NJ 07860
Phone (973) 383-2121

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

55 Meadowlands Pkwy
Fl 3
Secaucus, NJ 07094
Phone (201) 392-3588

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

175 Memorial Hwy
Ste 1-1
New Rochelle, NY 10801
Phone (914) 235-3535

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: iparizh1330336@ahs.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1619361995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SAVIN CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044215",
            "telephone_number": "646-898-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 STATE ROUTE 10",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079362107",
            "telephone_number": "973-920-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIZH",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "293705",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "293705",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10504300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0684686",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

Verify at the official NPI Registry.