WILLIAM J FOCAZIO MD
NPI 1205817277
Internal Medicine - Gastroenterology in Clifton, NJ
About William J Focazio Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM J FOCAZIO MD (NPI 1205817277) is an individual gastroenterology provider in Clifton, New Jersey, licensed in New Jersey (MA42726) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through August 5, 2028, and is affiliated with St Joseph's University Medical Center Inc.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
William J Focazio Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show William Focazio reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clifton, NJ 07013
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
East Orange, NJ 07018
- Reassigned Medicare billing, New Jersey enrollment
- 45 clinicians in this Medicare group
Madison, NJ 07940
- Reassigned Medicare billing, New Jersey enrollment
- 21 clinicians in this Medicare group
Hackettstown, NJ 07840
- Reassigned Medicare billing, New Jersey enrollment
- 429 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 31D0895790
William J Focazio MD · Bloomfield, NJAreas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph's University Medical Center Inc
Acute Care Hospitals · Paterson, NJCarewell Health Medical Center
Acute Care Hospitals · East Orange, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLIFTON, NJ 07013
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William Focazio's NPI number?
The NPI number for William Focazio is 1205817277. It was assigned to this individual provider in the NPPES registry on November 8, 2005.
Where is William Focazio located?
William Focazio practices at 999 Clifton Ave, Clifton, NJ 07013. The listed phone number is (973) 777-7879.
What is William Focazio's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is William Focazio enrolled in Medicare?
Yes. William Focazio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for William Focazio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Focazio reassigns Medicare benefits to 4 organizations: William J. Focazio, MD PA (Clifton, NJ), The Heart Center Of The Oranges (East Orange, NJ), Madison Medical And Sports Rehabilitation L.L.C (Madison, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Focazio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Does William Focazio hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 31D0895790) is associated with this NPI, valid through August 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does William Focazio accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list William Focazio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is William Focazio affiliated with any hospitals?
According to CMS data, William Focazio is affiliated with St Joseph's University Medical Center Inc and Carewell Health Medical Center.
When was this NPI record last updated?
The NPPES record for William Focazio was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.