WILLIAM J FOCAZIO MD
NPI 1205817277
Internal Medicine - Gastroenterology in Clifton, NJ

Active since November 08, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 31D0895790 · Certificate of Compliance
999 CLIFTON AVE, CLIFTON, NJ 07013(973) 777-7879(973) 777-6738 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1205817277
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameWILLIAM J FOCAZIOCredential: MD
Location Address999 CLIFTON AVEClifton, NJ 07013
Mailing Address999 Clifton AveClifton, NJ 07013 · (973) 777-7879 · Fax (973) 777-6738
Fax(973) 777-6738
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 8, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1205817277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · MA42726
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
999 CLIFTON AVE, Clifton, NJ 07013

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.

PECOS PAC ID1355354671
PECOS Enrollment IDI20101112000194
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare 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.

Gastroenterology
999 CLIFTON AVE
Clifton, NJ 07013
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
Cardiovascular Disease
60 EVERGREEN PLACE, SUITE 400
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 45 clinicians in this Medicare group
Sports Physician
210 MAIN ST
Madison, NJ 07940
  • Reassigned Medicare billing, New Jersey enrollment
  • 21 clinicians in this Medicare group
Multi-Specialty
651 WILLOW GROVE ST
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, NJ
Active · expires Aug 5, 2028
CLIA Number31D0895790
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2026
Certificate Expiration DateAugust 5, 2028
Laboratory DirectorMiroslav R. Radevic
Laboratory Phone(973) 777-7879
Laboratory LocationWilliam J Focazio MD382 West Passaic Avenue, Bloomfield, NJ 07003
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services33 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
17 services17 patients

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, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310083
Location300 Central AveEast Orange, NJ 07018 · Essex County
Emergency services

Physician 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.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Family)
999 CLIFTON AVE
CLIFTON, NJ 07013
Clinic/Center (Multi-Specialty)
999 CLIFTON AVE
CLIFTON, NJ 07013
Surgery (Vascular Surgery)
999 CLIFTON AVE
CLIFTON, NJ 07013
Internal Medicine (Gastroenterology)
999 CLIFTON AVE
CLIFTON, NJ 07013
Physical Medicine & Rehabilitation (Sports Medicine)
999 CLIFTON AVE
CLIFTON, NJ 07013
Anesthesiology
999 CLIFTON AVE
CLIFTON, NJ 07013
Internal Medicine (Gastroenterology)
999 CLIFTON AVE
CLIFTON, NJ 07013
Surgery
999 CLIFTON AVE
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.