Rudolph Steven Wagner, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA03649700 Issued in NJ

Practice address

288 Millburn Ave
Millburn, NJ 07041-1622

Phone

(973) 912-9199

Fax

(973) 912-0800

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

Rutgers New Jersey Medical School, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Retinal Consultants LLC 115 clinicians

Barnabas Health Medical Group PC 1,027 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Merit-based Incentive Payment System (MIPS)

Final score

91.52 of 100Reported as group

Quality

95.9

Promoting interoperability

100

Improvement activities

40

Cost

75.81

Merit-based Incentive Payment System (MIPS)

Final score

98.51 of 100Reported as apm

Quality

84.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246

  NJ

  Medicare reassignment Care Compare group NPD
• Associated Retinal Consultants LLC

  • Ophthalmology Physician
  • Newark, DE
  • NPI 1164578894

  NJ, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Associated Retinal Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • Englishtown, NJ
  • NPI 1295477404
  Care Compare group NPD
• University Physician Associates of New Jersey Inc

  • Ophthalmology Physician
  • Newark, NJ
  • NPI 1720098320

  NJ

  Medicare reassignment
• Associated Retinal Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • Millburn, NJ
  • NPI 1033751946
  Care Compare group
• Associated Retinal Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • Medford, NJ
  • NPI 1083372429
  Care Compare group
• Associated Retinal Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • Moorestown, NJ
  • NPI 1205594645
  Care Compare group
• Associated Retinal Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • East Windsor, NJ
  • NPI 1952043267
  Care Compare group
• Associated Retinal Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, NJ
  • NPI 1982362331
  Care Compare group
• Associated Retinal Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Brick, NJ
  • NPI 1255073466
  Care Compare group
• Associated Retinal Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hammonton, NJ
  • NPI 1255900973
  Care Compare group
• Associated Retinal Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Blackwood, NJ
  • NPI 1295304913
  Care Compare group

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

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1366484222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411622",
            "telephone_number": "973-912-9199",
            "fax_number": "973-912-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411622",
            "telephone_number": "973-912-9199",
            "fax_number": "973-912-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RUDOLPH",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03649700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3070107",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3070107-01",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwagner5808@direct.uhnj.org",
            "affiliation": "Y",
            "affiliationName": "University Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 Bergen St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071032496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vitreous Retina Macula Specialists of NJ
• Traci M Vogler
• Lydia Rutledge Vollavanh, ATC
• Sandra R Voremberg, MD
• Karen M Vozzella, DPT
• Estela Wajcberg, M.D.
• Sharaya Wallace-Collins, LPC, NCC
• Peter Robert Weiner, M.D.
• Joan Toshimi Weinstein, PA-C
• Nina L Weis, PT

• All providers in Millburn, NJ
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.