Individual provider Active NPI

Joseph J Fratello, MD

  • Internal Medicine Physician
  • Leonia, NJ
National Provider Identifier
1851334429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07010000 Issued in NJ
Practice address
385 Summit Ave
Leonia, NJ 07605-1339
Phone
(201) 302-9431
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 168195 NY
Internal Medicine Physician 207R00000X 25MA07010000 NJ Primary

Addresses

Primary practice location

385 Summit Ave
Leonia, NJ 07605-1339

Mailing address

385 Summit Avene
Leonia, NJ 07605
Phone (201) 302-9431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07010000NJMDInternal Medicine Physician
168195NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
House Physician Partners, PC Past Accepting new patients
Mount Sinai Hospital Past Accepting new patients
The Mount Sinai Hospital Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851334429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 SUMMIT AVENE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "07605",
            "telephone_number": "201-302-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SUMMIT AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051339",
            "telephone_number": "201-302-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATELLO",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168195",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07010000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.