Active NPI
Michael M Mainero, M.D.
- Gastroenterology Physician
- West Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- NJ55027
- Practice address
- 205 Browertown Rd
Suite 202
West Paterson, NJ 07424-2671 - Phone
- (973) 785-0102
- Fax
- (973) 785-2205
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NJ55027 | NJ | Primary |
Addresses
Primary practice location
205 Browertown Rd
Suite 202
West Paterson, NJ 07424-2671
Mailing address
205 Browertown Rd
Suite 202
West Paterson, NJ 07424-2671
Phone (973) 785-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5510708 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1195 Clifton Ave
Clifton, NJ 07013-3621
Phone (973) 785-0102
170 Changebridge Rd
BLDG C3
Montville, NJ 07045-9112
Phone (973) 785-0102
205 Browertown Rd
Woodland Park, NJ 07424-2610
246 Hamburg Tpke
Suite 203
Wayne, NJ 07470-2160
Phone (862) 336-9988
301 Lakehurst Rd
Toms River, NJ 08755-7335
Phone (732) 281-1590
484 Lafayette Ave
Hawthorne, NJ 07506-2522
Phone (973) 785-0102
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.89 of 100
- Quality
- 68.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 233 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 110 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ55027 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of New Jersey, LLC | Gastroenterology | Current | Accepting new patients |
| Gastroenterology Diagnostics of Northern New Jersey, PA | Gastroenterology | Current | Accepting new patients |
Locations
1195 Clifton Ave
Clifton, NJ 07013
Phone (201) 265-5700
484 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 423-4770
61 Beaverbrook Rd
Ste 301
Lincoln Park, NJ 07035
Phone (973) 686-0420
88 Park St
Ste 1
Montclair, NJ 07042
60 Skyline Dr
Ringwood, NJ 07456
Phone (973) 962-4000
301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590
1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002
246 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (862) 336-9988
205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-7515
1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277
205 Browertown Rd
Ste 202
Woodland Park, NJ 07424
Phone (973) 785-0102
205 Browertown Rd
Ste 201
Woodland Park, NJ 07424
Phone (201) 796-8860
205 Browertown Rd
Ste 102
Woodland Park, NJ 07424
Phone (973) 890-4780
Interoperability endpoints
- michael.mainero@ganj.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/JJIGAA
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.
-
- Gastroenterology Physician
- Woodland Park, NJ
- NPI 1497932271
-
- Gastroenterology Physician
- West Paterson, NJ
- NPI 1194976019
-
- Ambulatory Surgical Clinic/Center
- Woodland Park, NJ
- NPI 1942267893
Gastroenterology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1720090079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BROWERTOWN RD",
"address_2": "SUITE 202",
"city": "WEST PATERSON",
"state": "NJ",
"postal_code": "074242671",
"telephone_number": "973-785-0102",
"fax_number": "973-785-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BROWERTOWN RD",
"address_2": "SUITE 202",
"city": "WEST PATERSON",
"state": "NJ",
"postal_code": "074242671",
"telephone_number": "973-785-0102",
"fax_number": "973-785-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINERO",
"first_name": "MICHAEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "NJ55027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5510708",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.