NPIMap

Individual provider Active NPI

Helen Fajardo, PA

  • Surgical Physician Assistant
  • Goshen, NY
National Provider Identifier
1780238535
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
031542 Issued in NY
Practice address
70 Hatfield LN
Goshen, NY 10924-6734
Phone
(845) 291-3656
NPI assigned
Jul 30, 2019
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00528300 NJ
Surgical Physician Assistant 363AS0400X 031542 NY Primary

Addresses

Primary practice location

70 Hatfield LN
Goshen, NY 10924-6734

Mailing address

138 Mattison Rd
Branchville, NJ 07826-4006
Phone (973) 600-4106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191107000117 NJ Practitioner - Physician Assistant 3870925183 Reassigns benefits to 3 organizations
I20240426003254 NY Practitioner - Physician Assistant 3870925183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockland Thoracic and Vascular Associates, P.C.Group PAC ID 8325936479, 10 clinicians
Hudson Valley Thoracic and Vascular Assoc. PLLCGroup PAC ID 8527956663, 7 clinicians

Practice addresses (Care Compare)

5 A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-1081

70 Hatfield LN
Suite 202
Goshen, NY 10924-6735
Phone (845) 291-3656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
89.4
Promoting interoperability
97
Improvement activities
40
Cost
76.44

Merit-based Incentive Payment System (MIPS)

Final score
78.07 of 100Reported as group
Quality
45.39
Improvement activities
40
Cost
77.3

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
38.05
Improvement activities
40
Cost
79.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Sports Medicine & Orthopedic Center, LLC CurrentSince Jul 18, 2022 Accepting new patients
North Jersey Sports Medicine and Orthopedic Center LLC CurrentSince Jul 18, 2022 Accepting new patients

Locations

108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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 4

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1780238535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MATTISON RD",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "078264006",
            "telephone_number": "973-600-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HATFIELD LN",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246734",
            "telephone_number": "845-291-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "HELEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00528300",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "031542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.