NPIMap

Individual provider Active NPI

Gerard Louis Faugno, MD

  • Family Medicine Physician
  • Lyndhurst, NJ
National Provider Identifier
1710073408
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA41915 Issued in NJ
Practice address
160 Ridge Road
Lyndhurst, NJ 07071-1253
Phone
(201) 933-1480
Fax
(201) 933-5937
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA41915 NJ Primary

Addresses

Primary practice location

160 Ridge Road
Lyndhurst, NJ 07071-1253

Mailing address

160 Ridge Road
Lyndhurst, NJ 07071-1253
Phone (201) 933-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000500 NJ Practitioner - Family Practice 9537283049 Reassigns benefits to 2 organizations
Practice locations: Lyndhurst, NJ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University Central del Caribe Escuela de Medicina, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

160 Ridge Rd
Lyndhurst, NJ 07071-1275
Phone (551) 996-9177

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Visiting Health Services of New Jersey Home health agency, Woodland Park, NJ, CCN 317058
  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
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

LicenseStateTypeSpecialty
MA41915NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 27, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 27, 2020 Accepting new patients
Meridian Medical Group - Specialty Care, PC Family Medicine Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

116 Terrace Ave
Lodi, NJ 07644
Phone (201) 699-0508

160 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-1480

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

Interoperability endpoints

  • Direct secure messaging: gerard.faugno@direct.hackensackmeridian.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 7

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1710073408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIDGE ROAD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711253",
            "telephone_number": "201-933-1480",
            "fax_number": "201-933-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIDGE ROAD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711253",
            "telephone_number": "201-933-1480",
            "fax_number": "201-933-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUGNO",
        "first_name": "GERARD",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA41915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.