Individual provider Active NPI

Iris A Drey, MD

  • Orthopaedic Surgery Physician
  • Cliffside Park, NJ
National Provider Identifier
1689680209
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA06290000 Issued in NJ
Practice address
663 Palisade Ave
Suite 302
Cliffside Park, NJ 07010-3012
Phone
(201) 943-9100
Fax
(201) 943-7308
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA06290000 NJ Primary

Addresses

Primary practice location

663 Palisade Ave
Suite 302
Cliffside Park, NJ 07010-3012

Mailing address

111 Galway PL
Teaneck, NJ 07666-3606
Phone (201) 833-9500

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
I20120117000120 NJ Practitioner - Orthopedic Surgery 8426225475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedics Andsports Medicine,PCGroup PAC ID 1052391430, 12 clinicians

Practice addresses (Care Compare)

3196 Kennedy Blvd
Suite 3
Union City, NJ 07087-2468
Phone (201) 770-1600

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Premier Orthopaedics &Sports Medicine,PC Orthopaedic Surgery CurrentSince Apr 1, 2001 Accepting new patients
Hand & Trauma Institute CurrentSince Sep 19, 2015 Accepting new patients
Orthopedic Group, P.a. Orthopaedic Surgery Past Accepting new patients

Locations

1255 Broad St
Ste 201A
Bloomfield, NJ 07003
Phone (201) 833-9500

1255 Broad St
Ste 201B
Bloomfield, NJ 07003
Phone (201) 833-9500

663 Palisade Ave
Ste 302
Cliffside Pk, NJ 07010
Phone (201) 833-9500

403 Grand Ave
Englewood, NJ 07631
Phone (201) 431-7703

111 Galway Pl
Ste 300
Teaneck, NJ 07666
Phone (201) 833-9500

111 Galway Pl
Teaneck, NJ 07666
Phone (201) 833-9500

3196 Kennedy Blvd
Ste 3
Union City, NJ 07087
Phone (201) 223-4949

Interoperability endpoints

  • Direct secure messaging: iris.drey@direct.hobokenumc.md

Organizations & group practices 4

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 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1689680209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GALWAY PL",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663606",
            "telephone_number": "201-833-9500",
            "fax_number": "201-862-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 PALISADE AVE",
            "address_2": "SUITE 302",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103012",
            "telephone_number": "201-943-9100",
            "fax_number": "201-943-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREY",
        "first_name": "IRIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA06290000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

Verify at the official NPI Registry.