Individual provider Active NPI

Farrah Altuve, PA C

  • Surgical Physician Assistant
  • Ridgewood, NJ
National Provider Identifier
1831373083
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00201200 Issued in NJ
Practice address
85 S Maple Ave
Ridgewood, NJ 07450-4561
Phone
(201) 445-2830
Fax
(215) 829-2477
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00201200 NJ Primary

Addresses

Primary practice location

85 S Maple Ave
Ridgewood, NJ 07450-4561

Mailing address

800 Spruce St
1 Cathcart
Philadelphia, PA 19107-6130
Phone (215) 829-2222

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000453 NJ Practitioner - Physician Assistant 9739257908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

1400 Macarthur Blvd
Mahwah, NJ 07430-3618
Phone (201) 316-8449

2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404

5 Plainsboro Rd
Plainsboro, NJ 08536-1915
Phone (609) 924-8131

85 S Maple Ave
Ridgewood Orthopedics
Ridgewood, NJ 07450-4561
Phone (201) 445-2830

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC CurrentSince Nov 1, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Apr 1, 2013 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Apr 1, 2013 Accepting new patients
Orthonj LLC CurrentSince Nov 1, 2021 Accepting new patients
Peachtree Orthopaedic Clinic PA Past Accepting new patients

Locations

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

85 S Maple Ave
Ridgewood, NJ 07450
Phone (201) 445-2830

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

PO B0x 824320
Philadelphia, PA 19182

Interoperability endpoints

  • Direct secure messaging: faltuve@rogortho.gwaydirect.com

Organizations & group practices 5

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 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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1831373083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "address_2": "1 CATHCART",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-2222",
            "fax_number": "215-829-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504561",
            "telephone_number": "201-445-2830",
            "fax_number": "215-829-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTUVE",
        "first_name": "FARRAH",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00201200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.