Active NPI
Joseph Covelli, M.D.
- Internal Medicine Physician
- Nyack, NY
National Provider Identifier
1780622944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08109000
- Practice address
- 160 N Midland Ave
Nyack, NY 10960-1912 - Phone
- (845) 348-2000
- NPI assigned
- Jun 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 212340-1 | NY | |
| Internal Medicine Physician | 207R00000X | 25MA08109000 | NJ | Primary |
Addresses
Primary practice location
160 N Midland Ave
Nyack, NY 10960-1912
Mailing address
651 W Mount Pleasant Ave
Livingston, NJ 07039-1600
Phone (973) 251-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01952432 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York Downstate Medical Center, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
714 10TH St
Secaucus, NJ 07094-2921
Phone 20186333460000
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08109000 | NJ | MD | Internal Medicine Physician |
| 212340-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Internal Medicine | Current | Accepting new patients |
| Aspen Medical Associates, LLC | Internal Medicine | Past | Accepting new patients |
| Valley Medical Services, Inc. | Internal Medicine | Past | Accepting new patients |
| Bergen Family Pediatrics, LLC | Past | Accepting new patients | |
| Premier Physiatry Group LLC | Past | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346
Interoperability endpoints
- jcovelli@direct-address.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- New Hyde Park, NY
- NPI 1578665048
Internal Medicine, NJ
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Internal Medicine Physician
- Teaneck, NJ
- NPI 1699912196
-
- Pediatrics Physician
- Englewood Cliffs, NJ
- NPI 1770392177
-
- Psychiatry Physician
- Saddle River, NJ
- NPI 1023379054
-
- Internal Medicine Physician
- Ridgewood, NJ
- NPI 1285681221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1780622944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 W MOUNT PLEASANT AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070391600",
"telephone_number": "973-251-1177",
"fax_number": "973-251-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N MIDLAND AVE",
"city": "NYACK",
"state": "NY",
"postal_code": "109601912",
"telephone_number": "845-348-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVELLI",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "212340-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08109000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01952432",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.