Individual provider Active NPI

Michael Umanoff, MD

  • Pain Medicine Physician
  • Paterson, NJ
National Provider Identifier
1902804438
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MA04542600 Issued in NJ
Practice address
703 Main St
Paterson, NJ 07503-2621
Phone
(973) 754-2323
Fax
(973) 977-9455
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA45426 NJ
Pain Medicine Physician 208VP0000X 25MA04542600 NJ Primary

Addresses

Primary practice location

703 Main St
Paterson, NJ 07503-2621

Mailing address

PO Box 1593
Secaucus, NJ 07096-1593
Phone (201) 635-1003

Other identifiers 1

IdentifierTypeStateIssuer
0461202MedicaidNJ

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
I20040427001281 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 5597678961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Jersey Spine Group LLCGroup PAC ID 5597859884, 24 clinicians

Practice addresses (Care Compare)

1680 Route 23
Suite 250
Wayne, NJ 07470-7520
Phone (201) 445-9327

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Merit-based Incentive Payment System (MIPS)

Final score
88.72 of 100Reported as group
Quality
93.63
Promoting interoperability
99
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA45426NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Spine Group LLC CurrentSince Feb 18, 2022 Accepting new patients
New Jersey Anesthesia Group, P.a. Past Accepting new patients

Locations

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

255 Brunswick St
Ste 104
Jersey City, NJ 07302
Phone (973) 633-1122

10 Madison Ave
Ste 201
Morristown, NJ 07960
Phone (973) 633-1122

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

1680 State Route 23
Ste 250
Wayne, NJ 07470
Phone (201) 445-9327

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBIDAD

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 1

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1902804438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1593",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070961593",
            "telephone_number": "201-635-1003",
            "fax_number": "201-635-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2323",
            "fax_number": "973-977-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMANOFF",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA45426",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA04542600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.