Frank R Aversano Jr., M.D.
Individual provider Active NPI Surgery Physician · Suffern, NY
NPI 1992893135 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1992893135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 274308 (NY)
- Practice address
- 257 Lafayette Ave Ste 200
Suffern, NY 10901 - Phone
- (845) 369-8800
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- State Un of Ny, Stony Brook School of Dental Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Charity Health System Medical Group, P.C.
Practice addresses (Care Compare)
257 Lafayette Ave
Suffern, NY 10901-4830
Phone 845353560025027
Hospital & facility affiliations
- Good Samaritan Hospital of Suffern
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 87.82
- Promoting interoperability
- 92
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 20 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 23 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180112000522 | NY | Practitioner - General Surgery | 0941569248 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023651 | NY | MD | Physician Assistant |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Charity Health System Medical Group, P.C. | Single Specialty | Current |
Accepting new patients |
| Good Samaritan Hospital of Suffern | Past | Accepting new patients |
Locations
10 Liberty Square Mall
Stony Point, NY 10980
Phone (845) 369-8800
257 Lafayette Ave
Ste 200
Suffern, NY 10901
Phone (845) 369-8800
20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 023651 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician |
208600000X | 274308 | NY | Yes |
Addresses
Primary practice location
257 Lafayette Ave Ste 200
Suffern, NY 10901
Mailing address
20 Grand St FL 3
Warwick, NY 10990-1035
Phone (845) 987-3906
Other providers in Suffern, NY
- Stephanie Ashkenazy
- Ahmed Assas
- At Home Rehab OT
- Robivar Mercado Atienza
- Guido A Aversa
- Alice Azzalin
- B. Richard Nunziata, M.D., P.C.
- Eridania Maria Baez Quezada
- Bernard Baez
- Paul Bailey
All providers in Suffern, NY · Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.