John Philip Festa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00024200 Issued in NJ

Practice address

401 Hamburg Tpke
Suite 105
Wayne, NJ 07470-2154

Phone

(973) 595-6066

Fax

(973) 595-1127

NPI assigned

May 2, 2007

Last updated

Aug 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

85.11 of 100Reported as group

Quality

70.72

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Integrated Rehab Consultants Florida, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Altamonte SPG, FL
  • NPI 1245700244
  Medicare reassignment
• Township of South Orange Village

  • Public Health or Welfare Agency
  • South Orange, NJ
  • NPI 1043496102
  NPD (past)
• Teaneck Emergency Physicians PA

  • Emergency Medicine Physician
  • Teaneck, PA
  • NPI 1972569606
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503792000000",
    "number": "1649491861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SLEEPY HOLLOW RD",
            "city": "BYRAM TWP",
            "state": "NJ",
            "postal_code": "078213227",
            "telephone_number": "848-219-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "973-595-6066",
            "fax_number": "973-595-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTA",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2017-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00024200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadira M Fernandez, MD
• Kris Ann Fernicola
• Melissa Ferra, LCSW
• Anthony Nmi Festa, MD
• Eugene Daniel Festa, M.D., PH.D
• Steven Festa, MD
• Conor Fieggen, DPT
• Marciano T. Figueroa, M.D.
• Veronica Figueroa, LMT
• Philip John Filippis II, M.D.

• Physician Assistant in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2017; 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.