Individual provider Active NPI

Lynda Ann Youngworth, M.D., C.M., P.C.

  • Ophthalmology Physician
  • Cedar Grove, NJ
National Provider Identifier
1073677225
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA46091 Issued in NJ
Practice address
615 Pompton Ave
Cedar Grove, NJ 07009-1746
Phone
(973) 857-2000
Fax
(973) 857-7036
NPI assigned
Dec 21, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 MA46091 NJ Primary

Addresses

Primary practice location

615 Pompton Ave
Cedar Grove, NJ 07009-1746

Mailing address

1255 Broad St Ste 104
Bloomfield, NJ 07003-3061
Phone (973) 707-7057

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lyoungworth@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
I20101109000036 NJ Practitioner - Ophthalmology 2365561354 Reassigns benefits to 1 organization
Practice locations: Cedar Grove, NJ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1978
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)

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

615 Pompton Ave
Cedar Grove, NJ 07009-1746
Phone (973) 857-2000

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

Hospital & facility affiliations

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 surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA46091NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC Ophthalmology CurrentSince Jan 20, 2019 Accepting new patients

Locations

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

615 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 857-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1073677225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 BROAD ST STE 104",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033061",
            "telephone_number": "973-707-7057",
            "fax_number": "866-806-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091746",
            "telephone_number": "973-857-2000",
            "fax_number": "973-857-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGWORTH",
        "first_name": "LYNDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D., C.M., P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA46091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lyoungworth@retinanj.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Centers Of America, LLC",
            "address_1": "615 Pompton Ave",
            "city": "Cedar Grove",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070091746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.