Individual provider Active NPI

Amarnath Avancha, MD

  • Cardiovascular Disease Physician
  • Passaic, NJ
National Provider Identifier
1740457571
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA058773 Issued in NJ
Practice address
124 Gregory Ave
Suite 102
Passaic, NJ 07055-4856
Phone
(973) 777-1132
NPI assigned
May 12, 2008
Last updated
Dec 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA058773 NJ Primary
Nuclear Cardiology Physician 207UN0901X MA058773 NJ

Addresses

Primary practice location

124 Gregory Ave
Suite 102
Passaic, NJ 07055-4856

Mailing address

124 Gregory Ave
Suite 102
Passaic, NJ 07055-4856
Phone (973) 777-1132

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
I20040604000253 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507848355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

124 Gregory Ave
Suite 101
Passaic, NJ 07055-4894
Phone (973) 777-1132

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058773NJMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Jul 30, 2016 Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410
Phone 20147550501141

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

124 Gregory Ave
Ste 101
Passaic, NJ 07055
Phone (973) 777-1132

183 Illinois Ave
Paterson, NJ 07503
Phone (973) 523-3400

1225 McBride Ave
Ste 200
Woodland Park, NJ 07424
Phone (973) 256-5557

Interoperability endpoints

  • Direct secure messaging: aavancha236515@direct.englewoodhealth.org
  • Direct secure messaging: amarnath.avancha@direct.carepointhealth.org

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 3

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1740457571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREGORY AVE",
            "address_2": "SUITE 102",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554856",
            "telephone_number": "973-777-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GREGORY AVE",
            "address_2": "SUITE 102",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554856",
            "telephone_number": "973-777-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVANCHA",
        "first_name": "AMARNATH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA058773",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "MA058773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.