Individual provider Active NPI

Jeffrey Richard Vaninwegen, M.D.

  • Ophthalmology Physician
  • Ramsey, NJ
National Provider Identifier
1003876996
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA63643 Issued in NJ
Practice address
284 North Franklin Turnpike
New Jersey Regional Eye Care, PA
Ramsey, NJ 07446
Phone
(201) 327-3006
Fax
(201) 327-0720
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA63643 NJ Primary

Addresses

Primary practice location

284 North Franklin Turnpike
New Jersey Regional Eye Care, PA
Ramsey, NJ 07446

Mailing address

284 North Franklin Turnpike
New Jersey Regional Eye Care, PA
Ramsey, NJ 07446
Phone (201) 327-3006

Other identifiers 1

IdentifierTypeStateIssuer
7116209MedicaidNJ

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
I20040527000780 NJ Practitioner - Ophthalmology 4385625011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Regional Eye Care PAGroup PAC ID 2567443781, 4 clinicians

Practice addresses (Care Compare)

284 N Franklin Tpke
Ramsey, NJ 07446-1629
Phone (201) 327-3006

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery389

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA63643NJMDOphthalmology Physician

Organizations & group practices 1

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1003876996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 NORTH FRANKLIN TURNPIKE",
            "address_2": "NEW JERSEY REGIONAL EYE CARE, PA",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "07446",
            "telephone_number": "201-327-3006",
            "fax_number": "201-327-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 NORTH FRANKLIN TURNPIKE",
            "address_2": "NEW JERSEY REGIONAL EYE CARE, PA",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "07446",
            "telephone_number": "201-327-3006",
            "fax_number": "201-327-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANINWEGEN",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA63643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.