Individual provider Active NPI

Devang Laxmikant Bhoiwala, M.D.

  • Ophthalmology Physician
  • Bloomfield, NJ
National Provider Identifier
1043674229
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA11007200 Issued in NJ
Practice address
108 Broughton Ave
Bloomfield, NJ 07003-3999
Phone
(973) 743-1331
Fax
(973) 743-6577
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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 25MA11007200 NJ Primary

Addresses

Primary practice location

108 Broughton Ave
Bloomfield, NJ 07003-3999

Mailing address

108 Broughton Ave
Bloomfield, NJ 07003-3999
Phone (973) 743-1331

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
I20210625000146 NJ Practitioner - Ophthalmology 5395030415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

108 Broughton Ave
Bloomfield, NJ 07003-3989
Phone (973) 743-1331

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

825 Bloomfield Ave
Suite 101
Verona, NJ 07044-1300
Phone (973) 746-5665

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery115

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JG Optical Inc. CurrentSince Jun 23, 2024 Accepting new patients
Eye Centers of America, LLC Ophthalmology CurrentSince Aug 1, 2021 Accepting new patients
JG Optical Inc. Current Accepting new patients

Locations

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

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

825 Bloomfield Ave
Ste 101
Verona, NJ 07044
Phone (973) 746-5665

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

Interoperability endpoints

  • Direct secure messaging: devang.bhoiwala.1@3162.direct.athenahealth.com

Organizations & group practices 3

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1043674229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BROUGHTON AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033999",
            "telephone_number": "973-743-1331",
            "fax_number": "973-743-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BROUGHTON AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033999",
            "telephone_number": "973-743-1331",
            "fax_number": "973-743-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOIWALA",
        "first_name": "DEVANG",
        "middle_name": "LAXMIKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA11007200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.