Individual provider Active NPI

Patricia A Dreyfuss, MD

  • Specialist
  • Mountain Lakes, NJ
National Provider Identifier
1841201936
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA039576 Issued in NJ
Practice address
115 US Highway 46
Building D, Suite 27
Mountain Lakes, NJ 07046-1668
Phone
(973) 334-3345
Fax
(973) 263-3142
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA039576 NJ Primary

Addresses

Primary practice location

115 US Highway 46
Building D, Suite 27
Mountain Lakes, NJ 07046-1668

Mailing address

115 US Highway 46
Building D, Suite 27
Mountain Lakes, NJ 07046-1668
Phone (973) 334-3345

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
I20101201001008 NJ Practitioner - Obstetrics/Gynecology 4385830488 Reassigns benefits to 1 organization
Practice locations: Mountain Lakes, NJ

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1979
Medicare assignment
May accept Medicare assignment
Group practices
State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

115 Route 46 West Building D
Suite 27
Mountain Lakes, NJ 07046-1671
Phone (973) 334-3345

115 RT 46
BLDG D Suite 27
Mt. Lakes, NJ 07046-1671

59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (973) 538-1800

Hospital & facility affiliations

  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA039576NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Jun 10, 2022 Accepting new patients
Arsenio C Manlangit M.D., P.a. PastSince Nov 13, 2017 Accepting new patients

Locations

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

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 3

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1841201936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 US HIGHWAY 46",
            "address_2": "BUILDING D, SUITE 27",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461668",
            "telephone_number": "973-334-3345",
            "fax_number": "973-263-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 US HIGHWAY 46",
            "address_2": "BUILDING D, SUITE 27",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461668",
            "telephone_number": "973-334-3345",
            "fax_number": "973-263-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYFUSS",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA039576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.