Individual provider Active NPI

Lauren Angioletti, M.D.

  • Ophthalmology Physician
  • Bloomfield, NJ
National Provider Identifier
1023017357
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06413000 Issued in NJ
Practice address
1255 Broad St
Ste 104
Bloomfield, NJ 07003-3000
Phone
(973) 707-5632
Fax
(973) 707-7349
NPI assigned
Jul 19, 2005
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 25MA06413000 NJ
Ophthalmology Physician 207W00000X 25MA06413000 NJ Primary

Addresses

Primary practice location

1255 Broad St
Ste 104
Bloomfield, NJ 07003-3000

Mailing address

1 Corporate Dr
Wayne, NJ 07470-3112
Phone (973) 987-3380

Other practice location 1

6121 Kennedy Blvd Ste 1
North Bergen, NJ 07047-3483
Phone (201) 766-5151

Other practice location 2

1 Corporate Dr
Wayne, NJ 07470-3112
Phone (973) 987-3380

Other practice location 3

1095 Morris Ave Ste 103A
Union, NJ 07083-7170
Phone (908) 312-1001

Other practice location 4

1086 Teaneck Rd Ste 2A
Teaneck, NJ 07666-4858
Phone (201) 871-3414

Other practice location 5

500 N Franklin Tpke Ste 205
Ramsey, NJ 07446-1160
Phone (201) 962-9396

Other identifiers 1

IdentifierTypeStateIssuer
7161204MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkallina@retinanj.intellechartdirect.net Eye Centers Of America, LLC

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
I20050901000739 NJ Practitioner - Ophthalmology 0749212421 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
George Washington University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Eye Center PAGroup PAC ID 0941295968, shared by 2 NPIs, 9 clinicians
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians
Del Negro and Senft Eye Associates, P.C.Group PAC ID 1658352448, 7 clinicians

Practice addresses (Care Compare)

1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone 2013847333258

1 N Washington Ave
Bergenfield, NJ 07621-2160

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

1809 Colies Ave
Suite 1
Neptune, NJ 07753-4801

1809 Corlies Ave
Suite 1
Neptune, NJ 07753-4989
Phone (732) 774-5566

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.9

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06413000NJMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC Ophthalmology CurrentSince Aug 25, 2014 Accepting new patients
Del Negro & Senft Eye Associates, P.C. Ophthalmology CurrentSince Jan 2, 2026 Accepting new patients
Del Negro & Senft Eye Associates, P.C. Past Accepting new patients
Ny Retina Eye Care, PLLC Ophthalmology PastSince Sep 5, 2023 Accepting new patients
Eye Centers of America, LLC Past Accepting new patients
Omni Eye Specialists P a Ophthalmology PastSince Jul 1, 2023 Accepting new patients
Phillips Eye Center PA Ophthalmology PastSince Jan 1, 2001 Accepting new patients

Locations

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

794 Franklin Ave
Ste 201
Franklin Lakes, NJ 07417
Phone (201) 262-5070

22 Old Short Hills Rd
Ste 202
Livingston, NJ 07039
Phone (609) 608-0142

1809 Corlies Ave
Ste 1
Neptune, NJ 07753
Phone (732) 774-5566

6121 Kennedy Blvd
Ste 1
North Bergen, NJ 07047
Phone (201) 766-5151

523 Forest Ave
Ste 6
Paramus, NJ 07652

500 N Franklin Tpke
Ste 205
Ramsey, NJ 07446
Phone (201) 962-9396

1086 Teaneck Rd
Ste 2A
Teaneck, NJ 07666
Phone (201) 871-3414

1095 Morris Ave
Ste 103A
Union, NJ 07083
Phone (908) 312-1001

1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: laurenangioletti@ecoa.intellechartdirect.net

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1023017357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703112",
            "telephone_number": "973-987-3380",
            "fax_number": "973-987-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 BROAD ST",
            "address_2": "STE 104",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033000",
            "telephone_number": "973-707-5632",
            "fax_number": "973-707-7349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 Kennedy Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070473483",
            "country_code": "US",
            "telephone_number": "201-766-5151",
            "fax_number": "201-766-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074703112",
            "country_code": "US",
            "telephone_number": "973-987-3380",
            "fax_number": "973-987-3379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Morris Ave Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837170",
            "country_code": "US",
            "telephone_number": "908-312-1001",
            "fax_number": "908-312-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1086 Teaneck Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664858",
            "country_code": "US",
            "telephone_number": "201-871-3414",
            "fax_number": "201-871-4830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Franklin Tpke Ste 205",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074461160",
            "country_code": "US",
            "telephone_number": "201-962-9396",
            "fax_number": "201-474-7048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGIOLETTI",
        "first_name": "LAUREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA06413000",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06413000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7161204",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkallina@retinanj.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Centers Of America, LLC",
            "address_1": "1255 Broad St",
            "address_2": "STE 104",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.