Individual provider Active NPI

John Joseph McGreal, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Ridgewood, NJ
National Provider Identifier
1699725911
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
25MA07447100 Issued in NJ
Practice address
223 N Van Dien Avenue
The Valley Hospital
Ridgewood, NJ 07450
Phone
(201) 444-2019
Fax
(201) 444-3604
NPI assigned
May 10, 2006
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07447100 NJ
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 25MA07447100 NJ Primary

Addresses

Primary practice location

223 N Van Dien Avenue
The Valley Hospital
Ridgewood, NJ 07450

Mailing address

PO Box 1173
Valley Emergency Room Associates PA
Ridgewood, NJ 07451
Phone (800) 777-2455

Other identifiers 1

IdentifierTypeStateIssuer
8924708MedicaidNJ

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
I20101122000165 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0345436093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
79.61
Improvement activities
40
Cost
69.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193332NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatch Health Medical PC CurrentSince Nov 19, 2020 Accepting new patients
Valley Emergency Assoc PA CurrentSince Aug 1, 2002 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

50 Tice Blvd
Ste A35
Woodcliff Lk, NJ 07677
Phone (201) 882-7526

Interoperability endpoints

  • Direct secure messaging: john.mc.greal.1@13869.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1699725911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1173",
            "address_2": "VALLEY EMERGENCY ROOM ASSOCIATES PA",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07451",
            "telephone_number": "800-777-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N VAN DIEN AVENUE",
            "address_2": "THE VALLEY HOSPITAL",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-2019",
            "fax_number": "201-444-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREAL",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07447100",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NJ",
            "license": "25MA07447100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8924708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.