Individual provider Active NPI

Richard Edward Ioffreda, M.D.

  • Urology Physician
  • North Brunswick, NJ
National Provider Identifier
1780752964
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MA54000 Issued in NJ
Practice address
1250 Marigold St
North Brunswick, NJ 08902-1722
Phone
(732) 545-8259
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MA54000 NJ Primary

Addresses

Primary practice location

1250 Marigold St
North Brunswick, NJ 08902-1722

Mailing address

1250 Marigold Street
North Brunswick, NJ 08902
Phone (732) 545-8259

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000395 NJ Practitioner - Urology 6709787096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Jefferson Medical College of Thomas Jefferson University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P. F. Ioffreda, MD, PAGroup PAC ID 9638070923, 2 clinicians

Practice addresses (Care Compare)

1250 Marigold St
North Brunswick, NJ 08902-1722
Phone (732) 545-8259

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as individual
Quality
68.55
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA54000NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P. F. Ioffreda, MD, PA Urology CurrentSince May 18, 1993 Accepting new patients
Sovereign Medical Group LLC Urology PastSince May 18, 1993 Accepting new patients

Locations

1250 Marigold St
North Brunswick, NJ 08902
Phone (732) 354-4351

Interoperability endpoints

  • Direct secure messaging: richard.ioffreda.1@16558.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16558/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1780752964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MARIGOLD STREET",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-545-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MARIGOLD ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021722",
            "telephone_number": "732-545-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOFFREDA",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA54000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.