Active NPI
Kurt Richard Wengerter, MD
- Vascular Surgery Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA06395000
- Practice address
- 25 Rockwood PL
Suite 330
Englewood, NJ 07631-4957 - Phone
- (201) 408-5195
- Fax
- (201) 408-2485
- NPI assigned
- Mar 22, 2006
- Last updated
- Mar 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA06395000 | NJ | |
| Vascular Surgery Physician | 2086S0129X | 25MA06395000 | NJ | Primary |
Addresses
Primary practice location
25 Rockwood PL
Suite 330
Englewood, NJ 07631-4957
Mailing address
25 Rockwood PL
Suite 330
Englewood, NJ 07631-4957
Phone (201) 408-5195
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01026099 | Medicaid | NY | |
| 020034631 | Other | NJ | RAILROAD MEDICARE ID # |
| 6984100 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Rockwood PL
Suite 330
Englewood, NJ 07631-4958
Phone (201) 405-5195
350 Engle St
Berrie BLDG Suite 6586
Englewood, NJ 07631-1808
Phone (201) 408-5195
5 A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-1081
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.41 of 100
- Quality
- 41.6
- Improvement activities
- 40
- Cost
- 62.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.07 of 100
- Quality
- 45.39
- Improvement activities
- 40
- Cost
- 77.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Removal of tissue | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06395000 | NJ | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen Thoracic and Vascular Associates P.C. | Vascular Surgery | Current | Accepting new patients |
| Hudson Valley Thoracic & Vascular Assoc. PLLC | Vascular Surgery | Current | Accepting new patients |
| Rockland Thoracic & Vascular Associates, P.C. | Current | Accepting new patients |
Locations
25 Rockwood Pl
Ste 330
Englewood, NJ 07631
Phone (201) 405-5195
350 Engle St
Ste 65
Englewood, NJ 07631
Phone (201) 408-5195
70 Hatfield Ln
Ste 202
Goshen, NY 10924
Phone (845) 291-3656
5A Medical Park Dr
Pomona, NY 10970
Phone (845) 362-0075
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Englewood, NJ
- NPI 1154742872
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pomona, NY
- NPI 1740235068
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Goshen, NY
- NPI 1326093972
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489276800000",
"number": "1265491880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ROCKWOOD PL",
"address_2": "SUITE 330",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314957",
"telephone_number": "201-408-5195",
"fax_number": "201-408-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ROCKWOOD PL",
"address_2": "SUITE 330",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314957",
"telephone_number": "201-408-5195",
"fax_number": "201-408-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGERTER",
"first_name": "KURT",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2017-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA06395000",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA06395000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01026099",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID #",
"identifier": "020034631",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6984100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.