Individual provider Active NPI

Felix Yovanny Ortega, PA

  • Medical Physician Assistant
  • Perth Amboy, NJ
National Provider Identifier
1720348295
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00320400 Issued in NJ
Practice address
474 Amboy Ave FL 1
Perth Amboy, NJ 08861-3145
Phone
(848) 348-9812
Fax
(732) 358-0805
NPI assigned
May 18, 2012
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 015556 NY
Medical Physician Assistant 363AM0700X 25MP00320400 NJ Primary

Addresses

Primary practice location

474 Amboy Ave FL 1
Perth Amboy, NJ 08861-3145

Mailing address

474 Amboy Ave FL 1
Perth Amboy, NJ 08861-3145
Phone (848) 348-9812

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140113000908 NJ Practitioner - Physician Assistant 7719129147 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Ortega Telemedicine LLCGroup PAC ID 2365970126, 2 clinicians

Practice addresses (Care Compare)

1107 Convery Blvd
Perth Amboy, NJ 08861-1937
Phone (732) 896-9962

559 Penn St
Perth Amboy, NJ 08861-3237
Phone (848) 348-9812

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 979-1621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015556NYMDMental Health Counselor
25MP00320400NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Hospitals Corporation Past Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1720348295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 AMBOY AVE FL 1",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613145",
            "telephone_number": "848-348-9812",
            "fax_number": "732-358-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 AMBOY AVE FL 1",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613145",
            "telephone_number": "848-348-9812",
            "fax_number": "732-358-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "FELIX",
        "middle_name": "YOVANNY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015556",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00320400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.