Individual provider Active NPI

Michael M Mainero, M.D.

  • Gastroenterology Physician
  • West Paterson, NJ
National Provider Identifier
1720090079
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
NJ55027 Issued in NJ
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

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5510708MedicaidNJ

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
I20081007000092 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 2961570734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

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 100Reported as individual
Quality
68.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy233
Upper gastrointestinal (GI) endoscopy for acid reflux110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NJ55027NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of New Jersey, LLC Gastroenterology CurrentSince Sep 2, 2008 Accepting new patients
Gastroenterology Diagnostics of Northern New Jersey, PA Gastroenterology CurrentSince Jun 1, 2022 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

  • Direct secure messaging: michael.mainero@ganj.eclinicaldirectplus.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.