Individual provider Active NPI

Daniel Scott De Feo, D.O.

  • Family Medicine Physician
  • Wyckoff, NJ
National Provider Identifier
1912147166
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09244900 Issued in NJ
Practice address
541 Cedar Hill Ave Ste 2
Wyckoff, NJ 07481-2133
Phone
(551) 815-1000
Fax
(551) 815-1001
NPI assigned
Mar 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02003663A IN
Emergency Medicine Physician 207P00000X 25MB09244900 NJ
Family Medicine Physician 207Q00000X 02003663A IN
Family Medicine Physician 207Q00000X 25MB09244900 NJ Primary

Addresses

Primary practice location

541 Cedar Hill Ave Ste 2
Wyckoff, NJ 07481-2133

Mailing address

541 Cedar Hill Ave Ste 2
Wyckoff, NJ 07481-2133
Phone (551) 815-1000

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
I20130904000817 NJ Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 2668640624 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osteopathic Family Medicine of Northern NJ LLCGroup PAC ID 6507246550, 2 clinicians

Practice addresses (Care Compare)

541 Cedar Hill Ave
Suite 2
Wyckoff, NJ 07481-2133
Phone (551) 815-1000

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003663AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Oak Medical Group, LLC CurrentSince Mar 1, 2022 Accepting new patients
Barron Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Osteopathic Family Medicine of Northern NJ LLC Family Medicine CurrentSince Mar 3, 2022 Accepting new patients
One Oak Medical Group, LLC CurrentSince Mar 1, 2022 Accepting new patients
Cognosis CurrentSince Aug 1, 2024 Accepting new patients
Valley Physician Services PC CurrentSince Jan 1, 2022 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients

Locations

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

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

342 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 333-4759

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

541 Cedar Hill Ave
Ste 2
Wyckoff, NJ 07481
Phone (201) 212-6735

541 Cedar Hill Ave
Wyckoff, NJ 07481
Phone (201) 447-6262

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: ddefeo557527@ahs.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8a279096-6ad2-4c68-ac31-bf88e291604e/

Organizations & group practices 8

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": "1235865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1912147166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE STE 2",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812133",
            "telephone_number": "551-815-1000",
            "fax_number": "551-815-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE STE 2",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812133",
            "telephone_number": "551-815-1000",
            "fax_number": "551-815-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FEO",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-01",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02003663A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB09244900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003663A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09244900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

Verify at the official NPI Registry.