NPIMap

Individual provider Active NPI

Edward J Vecchione, DO

  • Internal Medicine Physician
  • Nutley, NJ
National Provider Identifier
1760440929
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB03121900 Issued in NJ
Practice address
181 Franklin Ave
#204
Nutley, NJ 07110-3820
Phone
(973) 667-8117
Fax
(973) 667-6642
NPI assigned
May 3, 2006
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB03121900 NJ Primary

Addresses

Primary practice location

181 Franklin Ave
#204
Nutley, NJ 07110-3820

Mailing address

66 Somme St
Newark, NJ 07105-3612
Phone (973) 522-0006

Other identifiers 1

IdentifierTypeStateIssuer
1475100MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000077 NJ Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 2264337856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internet Medical Group P CGroup PAC ID 2466357058, 3 clinicians

Practice addresses (Care Compare)

181 Franklin Ave
Suite 204
Nutley, NJ 07110-2900
Phone (973) 667-8117

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internet Medical Group PC Internal Medicine CurrentSince Oct 19, 1989 Accepting new patients
Clara Maass Medical Center Past Accepting new patients

Locations

181 Franklin Ave
Ste 204
Nutley, NJ 07110
Phone (973) 667-0995

Interoperability endpoints

  • Direct secure messaging: evecchione@direct.rwjbh.org

Organizations & group practices 2

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 7

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1760440929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SOMME ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053612",
            "telephone_number": "973-522-0006",
            "fax_number": "973-522-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 FRANKLIN AVE",
            "address_2": "#204",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103820",
            "telephone_number": "973-667-8117",
            "fax_number": "973-667-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHIONE",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB03121900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.