Individual provider Active NPI

David Martella-Whorton, OD

  • Optometrist
  • Bound Brook, NJ
National Provider Identifier
1124510870
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00680800 Issued in NJ
Practice address
225 Hamilton St
Bound Brook, NJ 08805-2018
Phone
(908) 685-5900
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X PENDING PA
Optometrist 152W00000X 27OA00680800 NJ Primary

Addresses

Primary practice location

225 Hamilton St
Bound Brook, NJ 08805-2018

Mailing address

225 Hamilton St
Bound Brook, NJ 08805-2018
Phone (908) 685-5900

Other practice location 1

12 Penns Trl Ste 154
Newtown, PA 18940-3438
Phone (888) 964-6681

Other practice location 2

103 Carnegie Ctr Ste 300
Princeton, NJ 08540-6235
Phone (888) 964-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180719001178 NJ Practitioner - Optometry 2163779380 Reassigns benefits to 2 organizations
I20180815002060 PA Practitioner - Optometry 2163779380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 Hamilton St
Bound Brook, NJ 08805-2018
Phone (641) 255-1712

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGPAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Jul 10, 2018 Accepting new patients
Family Vision Center LLC Optometrist CurrentSince Aug 9, 2024 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Jul 10, 2018 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Jul 27, 2018 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

225 Hamilton St
Bound Brook, NJ 08805
Phone (641) 255-1712

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

12 Penns Trl
Ste 154
Newtown, PA 18940
Phone (215) 675-3005

Organizations & group practices 4

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1124510870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HAMILTON ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088052018",
            "telephone_number": "908-685-5900",
            "fax_number": "908-685-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HAMILTON ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088052018",
            "telephone_number": "908-685-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Penns Trl Ste 154",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189403438",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Carnegie Ctr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085406235",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTELLA-WHORTON",
        "first_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00680800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

Verify at the official NPI Registry.