Organization Active NPI

Alfredo Festa M.D.P.C.

  • Otolaryngology Physician
  • Union City, NJ
National Provider Identifier
1740405075
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA03916500 Issued in NJ
Legal business name
ALFREDO FESTA M.D.P.C.
Practice address
4508 Kennedy Blvd
Union City, NJ 07087-2707
Phone
(201) 864-3168
Fax
(201) 864-4488
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. Alfredo Festa, M.D.NPI 1013131861
Title
President
Phone
(201) 864-3168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 25MA03916500 NJ Primary

Addresses

Primary practice location

4508 Kennedy Blvd
Union City, NJ 07087-2707

Mailing address

PO Box 2475
Clifton, NJ 07015-2475
Phone (201) 864-3168

Other identifiers 1

IdentifierTypeStateIssuer
3803503MedicaidNJ

National Provider Directory

National Provider Directory

Locations

451 Clifton Ave
Clifton, NJ 07011
Phone (973) 340-8787

4508 Kennedy Blvd
Union City, NJ 07087
Phone (201) 864-3168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1740405075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070152475",
            "telephone_number": "201-864-3168",
            "fax_number": "201-864-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872707",
            "telephone_number": "201-864-3168",
            "fax_number": "201-864-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO FESTA M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "FESTA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-864-3168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA03916500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3803503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.