Active NPI
Sergio Racanati
- Optometrist
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 270A00658000
- Practice address
- 875 Broad St
Newark, NJ 07102-2622 - Phone
- (973) 622-4492
- NPI assigned
- Mar 6, 2015
- Last updated
- Mar 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270A00658000 | NJ | Primary |
Addresses
Primary practice location
875 Broad St
Newark, NJ 07102-2622
Mailing address
875 Broad St
Newark, NJ 07102-2622
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632
89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 96.31
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270A00658000 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Eye Centers of America, LLC | Current | Accepting new patients | |
| Arturi Eye Associates PC | Past | Accepting new patients |
Locations
108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331
1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632
199 Broad St
Ste 2B
Bloomfield, NJ 07003
Phone (973) 337-8565
559 Anderson Ave
Cliffside Pk, NJ 07010
Phone (201) 945-4600
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974
1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380
Interoperability endpoints
- sracanati@ecoa.intellechartdirect.net
Organizations & group practices 4
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.
-
dba Retina Center of New Jersey
- Ophthalmology Physician
- Bloomfield, NJ
- NPI 1649563636
-
dba Riverside Medical Group
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Ophthalmology Physician
- Cliffside Park, NJ
- NPI 1275717118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1386037935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 BROAD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 BROAD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022622",
"telephone_number": "973-622-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACANATI",
"first_name": "SERGIO",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-06",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "270A00658000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.