Active NPI
Efthymios I Daniskas, M.D.
- Pulmonary Disease Physician
- Glen Ridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35446
- Practice address
- 311 Bay Ave
MMG Pulmonology
Glen Ridge, NJ 07028 - Phone
- (973) 746-7474
- Fax
- (973) 743-0265
- NPI assigned
- Sep 6, 2005
- Last updated
- Jun 30, 2020
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 35446 | NJ | Primary |
Addresses
Primary practice location
311 Bay Ave
MMG Pulmonology
Glen Ridge, NJ 07028
Mailing address
PO Box 419430
Boston, MA 02241-9430
Phone (201) 967-8221
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023248-1 | Other | NJ | UNIVERSITY HEALTH PLAN |
| 221943736 | Other | NJ | UNITED HEALTHCARE |
| 8539520 | Other | NJ | CIGNA |
| 526036 | Other | NJ | AETNA |
| F01046 | Other | NJ | HEALTHNET |
| 000596512 | Other | NJ | APWU HEALTH PLAN |
| 551535 | Other | NJ | AMERIHEALTH |
| 1040309 | Other | NJ | HORIZON NJ HEALTH |
| 221943736 | Other | NJ | QUALCARE |
| 1523805 | Medicaid | NJ | |
| 221943736 | Other | NJ | HORIZON BLUE SHIELD |
| 44J54 | Other | NJ | EMPIRE BLUE |
| CF1767 | Other | NJ | RAIL ROAD MEDICARE |
| P416286 | Other | NJ | OXFORD |
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
- Pulmonary Disease
- Education
- Rutgers New Jersey Medical School, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Bay Ave
Montclair, NJ 07042-4837
Phone (201) 781-1387
311 Bay Ave
Glen Ridge, NJ 07028-1607
Phone (973) 748-9246
622 Franklin Ave
Nutley, NJ 07110-1247
Phone (973) 661-1900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35446 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPV New Jersey MD Services PC | Current | Accepting new patients | |
| MPV New Jersey MD Services PC | Current | Accepting new patients |
Locations
200 Highland Ave
Ste 100
Glen Ridge, NJ 07028
Phone (973) 746-7474
311 Bay Ave
Glen Ridge, NJ 07028
Phone (973) 746-7474
Interoperability endpoints
- edaniskas188762@ahs.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Westwood, NJ
- NPI 1215391271
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, NJ
- NPI 1801542816
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HackensackUMC Mountainside
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1689668683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419430",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419430",
"telephone_number": "201-967-8221",
"fax_number": "201-483-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 BAY AVE",
"address_2": "MMG PULMONOLOGY",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "07028",
"telephone_number": "973-746-7474",
"fax_number": "973-743-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANISKAS",
"first_name": "EFTHYMIOS",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "35446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLAN",
"identifier": "023248-1",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "221943736",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8539520",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "526036",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "F01046",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APWU HEALTH PLAN",
"identifier": "000596512",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "551535",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1040309",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCARE",
"identifier": "221943736",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1523805",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BLUE SHIELD",
"identifier": "221943736",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE",
"identifier": "44J54",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CF1767",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P416286",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.