Alessandra Bertolucci, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07279200 Issued in NJ

Practice address

1033 Clifton Ave Ste 107
Clifton, NJ 07013-3517

Phone

(973) 773-9882

Fax

(973) 773-9883

NPI assigned

Jun 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Ophthalmology

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Alessandra Bertolucci MD LLCGroup PAC ID 6709941859, 7 clinicians

Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
• Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Alessandra Bertolucci MD LLC

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1568617330
  Medicare reassignment Care Compare group NPD Authorized official
• Icahn School of Medicine at Mount Sinai

  • Ophthalmology Physician
  • New York, NY
  • NPI 1437421252
  Medicare reassignment Care Compare group NPD
• Cranford Ophthalmology, P.a.

  • Ophthalmology Physician
  • Cranford, NJ
  • NPI 1932251238
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466

  Ophthalmology

  NPD
• Associated Eye Physicians & Surgeons of N.J., P.a.

  • Ophthalmology Physician
  • Union, NJ
  • NPI 1912094079
  NPD (past)
• Cranford Ophthalmology, PA

  • Ophthalmology Physician
  • Westfield, NJ
  • NPI 1407392004
  NPD (past)

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

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation
• New York Eye & Ear Infirmary

  • Special Hospital
  • New York City, NY
  • NPI 1245251222
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1174528996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE STE 107",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "973-472-6405",
            "fax_number": "973-472-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE STE 107",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "973-773-9882",
            "fax_number": "973-773-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLUCCI",
        "first_name": "ALESSANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07279200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9068805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bergen Passaic Ambulatory Surgery Center Inc
• Paulina D. Beristain, RDN
• Reyhan Berkel, MD
• Wayne Mitchell Berman, DMD
• Kaitlyn Bernard
• Joan Besing, PHD CCC-A
• Sabrina A Besser, SLP
• Best Care Medical Supply Co. Inc.
• Best Medical Care New Jersey, LLC
• Pravin Bhatt, RPH

• Ophthalmology Physician in Clifton, NJ
• Providers in Clifton, 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 Nov 20, 2020; 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.