Active NPI
John Vincent Bartolotta Jr., MD
- Surgery Physician
- West Nyack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA12064700
- Practice address
- 1 Crosfield Ave Ste 105
West Nyack, NY 10994-2229 - Phone
- (845) 535-3362
- Fax
- (845) 535-3368
- NPI assigned
- Apr 5, 2018
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA12064700 | NJ | Primary |
Addresses
Primary practice location
1 Crosfield Ave Ste 105
West Nyack, NY 10994-2229
Mailing address
1 Crosfield Ave Ste 105
West Nyack, NY 10994-2229
Phone (845) 535-3362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Crosfield Ave
Suite 105
West Nyack, NY 10994-2229
Phone (845) 535-3362
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12064700 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| White Plains Medical Diagnostic Services, PC | Surgery | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Surgery | Current | Accepting new patients |
Locations
98 James St
Ste 202
Edison, NJ 08820
Phone (732) 548-1000
98 James St
Edison, NJ 08820
Phone (732) 549-3934
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779
5 Plainsboro Rd
Ste 275
Plainsboro, NJ 08536
Phone (609) 785-5870
1 Crosfield Ave
Ste 105
West Nyack, NY 10994
Phone (845) 535-3362
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
Interoperability endpoints
- jbartolotta11169@prd.direct.tbh.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Nyack, NY
- NPI 1689955338
Surgery
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
Surgery
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
-
dba JFK University Medical Center
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1780301366
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1740786888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CROSFIELD AVE STE 105",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942229",
"telephone_number": "845-535-3362",
"fax_number": "845-535-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CROSFIELD AVE STE 105",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942229",
"telephone_number": "845-535-3362",
"fax_number": "845-535-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOLOTTA",
"first_name": "JOHN",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA12064700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.