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Individual provider Active NPI

Eli Wercberger, DO

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1023679974
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
321106 Issued in NY
Practice address
29 E 29TH St
Bayonne, NJ 07002-4654
Phone
(212) 734-6621
NPI assigned
Jun 21, 2019
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 25MB11666200 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 321106 NY Primary

Addresses

Primary practice location

29 E 29TH St
Bayonne, NJ 07002-4654

Mailing address

29 E 29TH St
Bayonne, NJ 07002-4654
Phone (212) 734-6621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, CT, TX, NJ6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20230516003500 NY Practitioner - General Practice 0446616494 Reassigns benefits to 3 organizations
I20240817000185 NY Practitioner - Internal Medicine 0446616494 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY
I20260129004285 PA Practitioner - Internal Medicine 0446616494 Reassigns benefits to 1 organization
I20260414000517 CT Practitioner - Internal Medicine 0446616494 Reassigns benefits to 2 organizations
I20260522000017 TX Practitioner - Internal Medicine 0446616494 Reassigns benefits to 2 organizations
I20260523000015 NJ Practitioner - Internal Medicine 0446616494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Rowan University School of Osteopathic Medicine, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Eli Wercberger DO PLLCGroup PAC ID 0547793481, 2 clinicians

Practice addresses (Care Compare)

1608 Stillwell Ave
Brooklyn, NY 11223-1028
Phone (718) 236-5757

2124 Paluxy Hwy
Granbury, TX 76048-5530
Phone (212) 734-6621

512 Union St
Trenton, NJ 08611-2800
Phone (212) 734-6621

749 Ocean Pkwy
Brooklyn, NY 11230-7813
Phone (917) 627-2130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321106NYMDInternal Medicine Physician
25MB11666200NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eli Wercberger DO PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Alan Goldman MD Steven C Tawil MD PC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Medical Director Services PC CurrentSince Sep 27, 2024 Accepting new patients
Impact Care Physicians PC CurrentSince Dec 6, 2025 Accepting new patients
Congregational SNF LLC Past Accepting new patients
Ditmas Park Rehabilitation & Care Center LLC Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

130 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 946-7557

250 Skillman St
Ste 202
Brooklyn, NY 11205

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

2829 Lititz Pike
Lancaster, PA 17601
Phone (717) 397-4921

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: reu9009@direct.nyp.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1023679974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "212-734-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "212-734-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERCBERGER",
        "first_name": "ELI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB11666200",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "321106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.