Individual provider Active NPI

Lauren G Rispoli, MD

  • Ophthalmology Physician
  • Verona, NJ
National Provider Identifier
1003801259
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA5622000 Issued in NJ
Practice address
Verona Opticians
573 Bloomfield Ave
Verona, NJ 07044-1818
Phone
(973) 239-4518
Fax
(973) 239-6210
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA056220 NJ
Ophthalmology Physician 207W00000X 25MA5622000 NJ Primary

Addresses

Primary practice location

Verona Opticians
573 Bloomfield Ave
Verona, NJ 07044-1818

Mailing address

46 Eagle Rock Ave
East Hanover, NJ 07936-3104
Phone (973) 560-1500

Other identifiers 1

IdentifierTypeStateIssuer
5570301MedicaidNJ

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
I20110211000886 NJ Practitioner - Ophthalmology 4284814948 Reassigns benefits to 2 organizations
Practice locations: Verona, NJ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology NJ LLCGroup PAC ID 2668820440, 12 clinicians

Practice addresses (Care Compare)

799 Bloomfield Ave
Verona, NJ 07044-1367
Phone (973) 571-1500

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
61.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA5622000NJMDOphthalmology Physician
MA056220NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology NJ LLC Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Ophthalmology NJ LLC Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Eye Surgeons and Physicians, PA Ophthalmology CurrentSince May 1, 2019 Accepting new patients
Eyecare 20/20- West Orange PA Ophthalmology PastSince Jul 27, 1993 Accepting new patients
Lauren C. Rispoli,MD PA Ophthalmology PastSince Oct 17, 2015 Accepting new patients

Locations

5 Franklin Ave
Ste 209
Belleville, NJ 07109
Phone (973) 751-6060

400 Valley Rd
Ste 106
Mt Arlington, NJ 07856
Phone (973) 584-4451

799 Bloomfield Ave
Verona, NJ 07044
Phone (973) 239-1112

Organizations & group practices 5

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1003801259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363104",
            "telephone_number": "973-560-1500",
            "fax_number": "973-560-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VERONA OPTICIANS",
            "address_2": "573 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441818",
            "telephone_number": "973-239-4518",
            "fax_number": "973-239-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISPOLI",
        "first_name": "LAUREN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA056220",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA5622000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5570301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.