Individual provider Active NPI

John Vincent Bartolotta Jr., MD

  • Surgery Physician
  • West Nyack, NY
National Provider Identifier
1740786888
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA12064700 Issued in NJ
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

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240829000068 NJ Practitioner - General Surgery 9931446192 Reassigns benefits to 1 organization
I20260120000731 NY Practitioner - General Surgery 9931446192 Reassigns benefits to 1 organization

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
White Plains Medical Diagnostic Services, PCGroup PAC ID 5395918932, 95 clinicians

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

ProcedureNumber 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

LicenseStateTypeSpecialty
25MA12064700NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 30, 2025 Accepting new patients
White Plains Medical Diagnostic Services, PC Surgery CurrentSince Feb 1, 2026 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 30, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Surgery CurrentSince Aug 1, 2024 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

  • Direct secure messaging: jbartolotta11169@prd.direct.tbh.org
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.