Individual provider Active NPI

Raymond P Visconti Jr., MD

  • Internal Medicine Physician
  • Riverdale, NJ
National Provider Identifier
1972542025
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA059844 Issued in NJ
Practice address
72 Hamburg Tpke
Riverdale, NJ 07457-1160
Phone
(973) 835-7290
Fax
(973) 835-0696
NPI assigned
Jun 5, 2006
Last updated
Jun 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA059844 NJ Primary

Addresses

Primary practice location

72 Hamburg Tpke
Riverdale, NJ 07457-1160

Mailing address

72 Hamburg Tpke
Riverdale, NJ 07457-1160
Phone (973) 835-7290

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
I20051010000238 NJ Practitioner - Internal Medicine 6305861311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA059844NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Medical Group, NJ-PC Internal Medicine Current Accepting new patients
Valley Physician Services PC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Vanguard Medical Group, PA PastSince May 14, 2014 Accepting new patients
Valley Health Medical Group-Ny, P.C. Past Accepting new patients

Locations

135 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-7055

85 Chestnut Ridge Rd
Montvale, NJ 07645
Phone (201) 444-1775

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

15 Essex Rd
Fl 5
Paramus, NJ 07652

15 Essex Rd
Ste 504
Paramus, NJ 07652

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

72 Hamburg Tpke
Riverdale, NJ 07457
Phone (973) 696-6687

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
  • Direct secure messaging: raymond.visconti.6@5622.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1972542025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 HAMBURG TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571160",
            "telephone_number": "973-835-7290",
            "fax_number": "973-835-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HAMBURG TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571160",
            "telephone_number": "973-835-7290",
            "fax_number": "973-835-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCONTI",
        "first_name": "RAYMOND",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA059844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

Verify at the official NPI Registry.