Scott W Silodor, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA06061500 Issued in NJ

Practice address

1211 Hamburg Tpke
224
Wayne, NJ 07470-5043

Phone

(973) 696-0998

Fax

(973) 696-3247

NPI assigned

Nov 7, 2005

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 1990

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)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: silodor@eaw.direct.iopracticeware.com

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.

• Eye Centers of America, LLC

  dba Retina Center of New Jersey

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1053392258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HAMBURG TPKE",
            "address_2": "224",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705043",
            "telephone_number": "973-696-0998",
            "fax_number": "973-696-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HAMBURG TPKE",
            "address_2": "224",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705043",
            "telephone_number": "973-696-0998",
            "fax_number": "973-696-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILODOR",
        "first_name": "SCOTT",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06061500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "191754",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026619",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RENDERING NUMBER",
            "identifier": "149689AWS",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1603435",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "037893",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0497752",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imtiazuddin M Siddiqui, MD
• Nafeesa Siddiqui, M.D.
• Stuart L Siepser, MD
• Signal Neuromonitoring, LLC
• Colin Silk
• Ani Silvani
• Simeon Dialysis LLC (St Josephs Wayne Dialysis)
• Erin Simon
• Gavrielle Beth Simon, LCSW
• Erica Stephanie Simone, ATC, OTC

• Ophthalmology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.