Individual provider Active NPI

Kyle Bensinger, O.D.

  • Optometrist
  • Belleville, NJ
National Provider Identifier
1235547209
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00659901 Issued in NJ
Practice address
5 Franklin Ave 209
Belleville, NJ 07109-3504
Phone
(973) 751-6060
Fax
(973) 450-1464
NPI assigned
Jul 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 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 27OA00659901 NJ Primary
Optometrist 152W00000X 27OA00659900 NJ

Addresses

Primary practice location

5 Franklin Ave 209
Belleville, NJ 07109-3504

Mailing address

5 Franklin Ave 209
Belleville, NJ 07109-3504
Phone (973) 751-6060

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909000623 NJ Practitioner - Optometry 9436465309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology NJ LLCGroup PAC ID 2668820440, 12 clinicians

Practice addresses (Care Compare)

5 Franklin Ave
Suite 209
Belleville, NJ 07109-3504
Phone (973) 751-6060

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
61.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00659901NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons and Physicians, PA CurrentSince Aug 19, 2015 Accepting new patients
Ophthalmology NJ LLC CurrentSince Jan 1, 2024 Accepting new patients
Ophthalmology NJ LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

5 Franklin Ave
Belleville, NJ 07109
Phone (973) 450-3040

5 Franklin Ave
Ste 209
Belleville, NJ 07109
Phone (973) 751-6060

400 Valley Rd
Ste 106
Mt Arlington, NJ 07856
Phone (973) 584-4451

799 Bloomfield Ave
Verona, NJ 07044
Phone (973) 239-1112

799 Bloomfield Ave
Ste 100
Verona, NJ 07044
Phone (973) 751-6060

Interoperability endpoints

  • Direct secure messaging: kbensinger@essex.intellechartdirect.net

Organizations & group practices 3

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1235547209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE 209",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093504",
            "telephone_number": "973-751-6060",
            "fax_number": "973-450-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE 209",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093504",
            "telephone_number": "973-751-6060",
            "fax_number": "973-450-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSINGER",
        "first_name": "KYLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00659901",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00659900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.