Individual provider Active NPI

William John Willis, M.D.

  • Anesthesiology Physician
  • Denville, NJ
National Provider Identifier
1700882180
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA05786500 Issued in NJ
Practice address
3130 Route 10
Denville, NJ 07834-3455
Phone
(973) 442-9980
NPI assigned
Jun 22, 2005
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA57865 NJ
Anesthesiology Physician 207L00000X 25MA05786500 NJ Primary

Addresses

Primary practice location

3130 Route 10
Denville, NJ 07834-3455

Mailing address

15 Fox Run Rd
Sparta, NJ 07871-1785
Phone (908) 403-2863

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
I20050120000811 NJ Practitioner - Anesthesiology 6204885866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Morristown PAGroup PAC ID 7315906591, 168 clinicians

Practice addresses (Care Compare)

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA57865NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ambulatory Anesthesiologists LLC Specialist CurrentSince Feb 15, 2011 Accepting new patients
Anesthesia Associates of Morristown PA Specialist CurrentSince May 29, 2019 Accepting new patients
Essex Anesthesiolists PA Anesthesiology Past Accepting new patients
Tri-County Pain Management & Rehabilitation, PA Anesthesiology Past Accepting new patients
Anesthesia Associates of NJ LLC Anesthesiology Past Accepting new patients
Anesthesia Management Associates of NJ LLC Anesthesiology Past Accepting new patients

Locations

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

37 E Willow St
Millburn, NJ 07041
Phone (973) 821-3387

111 Madison Ave
Morristown, NJ 07960
Phone (201) 943-5991

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

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1700882180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FOX RUN RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711785",
            "telephone_number": "908-403-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 ROUTE 10",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343455",
            "telephone_number": "973-442-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA57865",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05786500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.