James Eric Dello Russo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27TO00121200 Issued in NJ

Practice address

1 North Washington Ave
Bergenfield, NJ 07621

Phone

(201) 384-7333

Fax

(201) 385-3881

NPI assigned

Aug 8, 2006

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

Other identifiers 12

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

Specialty

Optometry

Education

New England College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Eye Center PAGroup PAC ID 0941295968, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.9

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.dello.russo.1@7535.direct.athenahealth.com

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.

• New Jersey Eye Center, P.a.

  • Optometrist
  • Bergenfield, NJ
  • NPI 1235155615
  Medicare reassignment Care Compare group NPD Authorized official
• Ambulatory Surgical Center of Bergenfield LLC

  • Ambulatory Surgical Clinic/Center
  • Bergenfield, NJ
  • NPI 1548848120
  NPD Authorized official
• Dello Russo Family Eye Care Inc

  • Optometrist
  • Bergenfield, NJ
  • NPI 1407578917
  NPD Authorized official
• Main Eye Glass Center, Inc.

  • Optometrist
  • Bergenfield, NJ
  • NPI 1326262338
  NPD Authorized official
• New Jersey Eye Center, P.a.

  • Ambulatory Surgical Clinic/Center
  • Bergenfield, NJ
  • NPI 1235234055
  NPD
• New Jersey Eye Center, P.a.

  • Optometrist
  • Glen Rock, NJ
  • NPI 1477288835
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1306856091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTH WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "07621",
            "telephone_number": "201-384-7333",
            "fax_number": "201-385-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "07621",
            "telephone_number": "201-384-7333",
            "fax_number": "201-385-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLO RUSSO",
        "first_name": "JAMES",
        "middle_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00121200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K5292",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3229881",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED VISION",
            "identifier": "NJ1300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA VISION",
            "identifier": "12056",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2128912000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7386502",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "8217500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91002286600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "1784R1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "52146",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00085267",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2738259",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DBP Podiatry PC
• Eduardo B Deang, PT
• Maria De la Paz Debes
• Michael August Degennaro, M.D.
• Dello Russo Family Eye Care Inc
• Jeffrey S Dello Russo, MD
• Nisha Desai
• Jeffrey Desilets, MD
• James Anthony Detura, R.PH.
• Louis Diamond, PA

• Optometrist in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.