Behroz Oftadeh, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1 Capital Way
Pennington, NJ 08534-2520

Phone

(609) 303-4049

NPI assigned

Jul 29, 2017

Last updated

Jul 29, 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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newport Harbor Radiology Associates Medical Group IncGroup PAC ID 1850285735, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score

95.45 of 100Reported as group

Quality

100

Improvement activities

40

Cost

84.82

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Newport Harbor Radiology Associates Medical Group, Inc

  • Diagnostic Radiology Physician
  • Newport Beach, CA
  • NPI 1053355792
  Medicare reassignment Care Compare group
• Newport Center Radiology Associates Medical Group Inc

  dba Newport Imaging Center

  • Diagnostic Radiology Physician
  • Newport Beach, CA
  • NPI 1013951714
  Medicare reassignment

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

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501286400000",
    "number": "1225552433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N RANCHO DR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154736",
            "telephone_number": "562-708-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAPITAL WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342520",
            "telephone_number": "609-303-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFTADEH",
        "first_name": "BEHROZ",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-29",
        "last_updated": "2017-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul O'Neil
• Oaks Integrated Care
• Nadeem Obaydou, MD
• Obstetrix Medical Group of New Jersey, P.C.
• Samantha Offenback
• Lateefat Olawore, DO
• Caroline F Olkowski
• Hannah Olshevski, PT, DPT
• Kathie Olson, MSN, CRNP
• Corazon Batad Oniate, NP

• Physician Assistant in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.