Individual provider Active NPI

Richard Vaz, D.O.

  • Internal Medicine Physician
  • Newton, NJ
National Provider Identifier
1790762706
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB06310900 Issued in NJ
Practice address
123 Newton Sparta Rd
Newton, NJ 07860-2769
Phone
(973) 579-6300
Fax
(973) 579-1524
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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 25MB06310900 NJ Primary

Addresses

Primary practice location

123 Newton Sparta Rd
Newton, NJ 07860-2769

Mailing address

123 Newton Sparta Rd
Newton, NJ 07860-2769
Phone (973) 579-6300

Other identifiers 1

IdentifierTypeStateIssuer
7192002MedicaidNJ

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
I20060117000755 NJ Practitioner - Internal Medicine 5597721779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Associates LLCGroup PAC ID 0840283008, 45 clinicians

Practice addresses (Care Compare)

123 Newton Sparta Rd
Newton, NJ 07860-2769
Phone (973) 579-6300

715 Route 10 E
Randolph, NJ 07869-2025
Phone (973) 343-7040

89 Sparta Ave
Sparta, NJ 07871-1777
Phone (973) 209-1550

89 Sparta Ave
Suite 100
Sparta, NJ 07871-1790
Phone (973) 729-2121

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Visiting Nurse Assoc of Northern New Jersey, Inc Home health agency, Morristown, NJ, CCN 317002
  • Compassionate Care Hospice of Northern NJ, LLC Hospice, Rockaway, NJ, CCN 311573
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
78.05 of 100Reported as apm
Quality
65.09
Promoting interoperability
85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Associates LLC Internal Medicine CurrentSince Feb 25, 1997 Accepting new patients
Premier Health Associates, LLC CurrentSince Feb 25, 1997 Accepting new patients
Highlands Interventional Pain Management LLC Past Accepting new patients

Locations

123 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 579-1000

175 High St
Newton, NJ 07860
Phone (973) 383-2121

532 Lafayette Rd
Ste 300
Sparta, NJ 07871
Phone (973) 940-0423

111 E Catherine St
Ste 110
Milford, PA 18337
Phone (570) 296-4600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJHBA
  • Direct secure messaging: richardvaz@premiernj.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassionate Care HospiceBudd Lake, NJ, CCN 311573 Hospice W-2 Managing Employee Apr 15, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 9

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1790762706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602769",
            "telephone_number": "973-579-6300",
            "fax_number": "973-579-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602769",
            "telephone_number": "973-579-6300",
            "fax_number": "973-579-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZ",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB06310900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7192002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.