Individual provider Active NPI

Michael J Landolfi, D.O.

  • Ophthalmology Physician
  • Belleville, NJ
National Provider Identifier
1356312508
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MB0749600 Issued in NJ
Practice address
567 Franklin Ave
Belleville, NJ 07109-1540
Phone
(973) 751-4500
Fax
(973) 751-3073
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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 25MB0749600 NJ Primary

Addresses

Primary practice location

567 Franklin Ave
Belleville, NJ 07109-1540

Mailing address

31 Birchwood LN
North Haledon, NJ 07508-3139

Other identifiers 11

IdentifierTypeStateIssuer
2K5880OtherNJHEALTH NET
5703108OtherNJCIGNA
AMERIHEALTHOtherNJ2255955000
2336686OtherNJUNITED HEALTHCARE
471A6OtherNJWELL CHOICE
223670968003OtherNJST BARNABUS
GHIOtherNJ0498408
3324544OtherNJAETNA
OXFORDOtherNJP2967964
223670968OtherNJHORIZON BLUR CROSS/BLUE S
2938103MedicaidNJ

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
I20040618001148 NJ Practitioner - Ophthalmology 3375528961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alessandra Bertolucci MD LLCGroup PAC ID 6709941859, 7 clinicians

Practice addresses (Care Compare)

1033 Clifton Ave
Suite 107
Clifton, NJ 07013-3517
Phone (973) 472-6405

36 Newark Ave
Suite 120
Belleville, NJ 07109-4120
Phone (973) 302-7551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
22.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB0749600NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Physicians, P.a. Ophthalmology CurrentSince Sep 19, 2018 Accepting new patients
Alessandra Bertolucci MD LLC Ophthalmology CurrentSince Sep 19, 2018 Accepting new patients

Locations

567 Franklin Ave
Belleville, NJ 07109
Phone (973) 751-4500

1033 Clifton Ave
Ste 107
Clifton, NJ 07013
Phone (973) 472-6405

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

505 Wanaque Ave
Pompton Lakes, NJ 07442
Phone (973) 616-0666

138 S Euclid Ave
Westfield, NJ 07090
Phone (908) 232-0909

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22072/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1356312508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BIRCHWOOD LN",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075083139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 FRANKLIN AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091540",
            "telephone_number": "973-751-4500",
            "fax_number": "973-751-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDOLFI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MB0749600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K5880",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5703108",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2255955000",
            "identifier": "AMERIHEALTH",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2336686",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CHOICE",
            "identifier": "471A6",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST BARNABUS",
            "identifier": "223670968003",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0498408",
            "identifier": "GHI",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3324544",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P2967964",
            "identifier": "OXFORD",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUR CROSS/BLUE S",
            "identifier": "223670968",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2938103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.