Active NPI
Adam Feintisch, MD
- Plastic and Reconstructive Surgery Physician
- Maywood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 25MA09722300
- Practice address
- 113 W Essex St Ste 204
Maywood, NJ 07607-1023 - Phone
- (201) 289-5551
- Fax
- (201) 843-2390
- NPI assigned
- May 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 25MA09722300 | NJ | Primary |
Addresses
Primary practice location
113 W Essex St Ste 204
Maywood, NJ 07607-1023
Mailing address
113 W Essex Street
Suite 204
Maywood, NJ 07607
Phone (201) 289-5551
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160824001227 | NJ | Practitioner - Plastic and Reconstructive Surgery | 5799070165 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Plastic Surgery Center
Practice addresses (Care Compare)
535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 333-8720
Hospital & facility affiliations
- Hackensack University Medical Center
- Holy Name Medical Center
- Jersey City Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 52 |
| Removal of tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09722300 | NJ | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Plastic Surgery Center | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Frank Ciminello Medical, PC | Current | Accepting new patients | |
| The Woods O.R., Inc. | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
113 W Essex St
Ste 204
Maywood, NJ 07607
Phone (201) 289-5551
200 Schulz Dr
Ste 2
Red Bank, NJ 07701
331 Newman Springs Rd
Ste 200
Red Bank, NJ 07701
Phone (732) 242-7101
535 Sycamore Ave
Shrewsbury, NJ 07702
Phone (737) 741-0970
Interoperability endpoints
- adam.feintisch.1@8568.direct.athenahealth.com
- afeintisch189650@ahs.direct-ci.com
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.
-
- Plastic and Reconstructive Surgery Physician
- Red Bank, NJ
- NPI 1386613834
NJ, Plastic and Reconstructive Surgery
-
- Plastic Surgery Physician
- Maywood, NJ
- NPI 1619227774
-
- Ambulatory Surgical Clinic/Center
- Tinton Falls, NJ
- NPI 1952610768
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1962729863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 W ESSEX STREET",
"address_2": "SUITE 204",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "07607",
"telephone_number": "201-289-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W ESSEX ST STE 204",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071023",
"telephone_number": "201-289-5551",
"fax_number": "201-843-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEINTISCH",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-01",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NJ",
"license": "25MA09722300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.