Active NPI
Maria Visconi
- Medical Physician Assistant
- Dumont, NJ
National Provider Identifier
1710381207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 017933
- Practice address
- 40 Washington Ave
Dumont, NJ 07628-3697 - Phone
- (201) 387-7055
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 017933 | NY | Primary |
Addresses
Primary practice location
40 Washington Ave
Dumont, NJ 07628-3697
Mailing address
40 Washington Ave
Dumont, NJ 07628-3697
Phone (201) 600-7372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| Dimerhealth Medical Practice | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
Interoperability endpoints
- maria.visconi.1@28989.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
- Clinical Cardiac Electrophysiology Physician
- Ridgewood, NJ
- NPI 1457626558
NY
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Emergency Medicine Physician
- Mendham, NJ
- NPI 1285338483
-
- Adult Day Care Clinic/Center
- Bronx, NY
- NPI 1740763275
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1710381207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WASHINGTON AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076283697",
"telephone_number": "201-600-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WASHINGTON AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076283697",
"telephone_number": "201-387-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISCONI",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "017933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dumont, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.