Anthony Pacione, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00427900 Issued in NJ

Practice address

223 N Van Dien Ave
Ridgewood, NJ 07450-2736

Phone

(201) 447-8000

Fax

(201) 447-8019

NPI assigned

Sep 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Specialists of Northern Jersey LLCGroup PAC ID 7618247420, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Physician Specialists of Northern Jersey LLC

  • Multi-Specialty Clinic/Center
  • Paramus, NJ
  • NPI 1952842460
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1861742579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEARS DR STE 306",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523510",
            "telephone_number": "201-830-2287",
            "fax_number": "201-830-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N VAN DIEN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502736",
            "telephone_number": "201-447-8000",
            "fax_number": "201-447-8019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sears Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523510",
            "country_code": "US",
            "telephone_number": "201-830-2287",
            "fax_number": "201-830-2286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACIONE",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-11",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00427900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Osborne, M.A., ED.S., LMFT
• Nicole Osit, M.A., ED.S.
• Osteopathic Wellness of New Jersey, LLC
• Our Space Northeast
• Teresa Owens, MA, ATR-BC, CGP
• Kapila V Paghdal, MD
• Paige Applebaum Farkas MD PA
• Pain and Rehabilitation Medicine LLC
• Jessy R Palamattam, M.D.
• Jeanne E Palazzo, LCSW

• Medical Physician Assistant in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.