JOANNA BUILES
NPI 1790374437
Nurse Practitioner - Gerontology in Ridgewood, NJ

Active since January 17, 2021PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450(201) 447-8000 Get Directions Write a Review

NPPES record last updated: January 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joanna Builes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOANNA BUILES (NPI 1790374437) is an individual gerontology provider in Ridgewood, New Jersey, licensed in New Jersey (26NJ01104700) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790374437
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJOANNA BUILES
Location Address223 N VAN DIEN AVERidgewood, NJ 07450-2736
Mailing Address124 Home Pl Unit 17Lodi, NJ 07644-1557 · (201) 993-0324
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 17, 2021
NPPES CertifiedSeptember 26, 2020
NPI 1790374437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NJ · 26NJ01104700
223 N VAN DIEN AVE, Ridgewood, NJ 07450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joanna Builes 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 ID1153721410
PECOS Enrollment IDI20210609000124
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
220 services124 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
74 services74 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
34 services34 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
18 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450
Specialist/Technologist (Athletic Trainer)
223 N VAN DIEN AVE, THE VALLEY HOSPITAL HEALTH AND FITNESS CENTER
RIDGEWOOD, NJ 07450
Orthopaedic Surgery
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450
Internal Medicine
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450
Emergency Medicine
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450
Specialist
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450
Nurse Practitioner (Adult Health)
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450

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 Joanna Builes's NPI number?

The NPI number for Joanna Builes is 1790374437. It was assigned to this individual provider in the NPPES registry on January 17, 2021.

Where is Joanna Builes located?

Joanna Builes practices at 223 N Van Dien Ave, Ridgewood, NJ 07450. The listed phone number is (201) 447-8000.

What is Joanna Builes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Joanna Builes enrolled in Medicare?

Yes. Joanna Builes 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.

Is Joanna Builes affiliated with any hospitals?

According to CMS data, Joanna Builes is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Joanna Builes was last updated on January 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.