Individual provider Active NPI

Larry D Weisfeld, MD

  • Ophthalmology Physician
  • Bound Brook, NJ
National Provider Identifier
1326120080
Registry record updated Jul 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA36092 Issued in NJ
Practice address
515 Church Street
Suite 4
Bound Brook, NJ 08805-1743
Phone
(732) 356-7283
Fax
(732) 356-0432
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA36092 NJ Primary

Addresses

Primary practice location

515 Church Street
Suite 4
Bound Brook, NJ 08805-1743

Mailing address

515 Church Street
Suite 4
Bound Brook, NJ 08805-1743
Phone (732) 356-7283

Other identifiers 1

IdentifierTypeStateIssuer
0421707MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050615000510 NJ Practitioner - Ophthalmology 1254375728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Specialists, PAGroup PAC ID 4981659802, 9 clinicians

Practice addresses (Care Compare)

745 US Hwy 202/206 301
Bridgewater, NJ 08807-1758
Phone (908) 231-1110

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA36092NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Specialists, PA Ophthalmology CurrentSince Jul 1, 2018 Accepting new patients

Locations

515 Church St
Ste 4
Bound Brook, NJ 08805
Phone (732) 356-7283

390 Amwell Rd
Ste 403
Hillsborough, NJ 08844
Phone (908) 231-1110

Organizations & group practices 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1326120080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CHURCH STREET",
            "address_2": "SUITE 4",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051743",
            "telephone_number": "732-356-7283",
            "fax_number": "732-356-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CHURCH STREET",
            "address_2": "SUITE 4",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051743",
            "telephone_number": "732-356-7283",
            "fax_number": "732-356-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISFELD",
        "first_name": "LARRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA36092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

Verify at the official NPI Registry.