Individual provider Active NPI

Sergio Racanati

  • Optometrist
  • Newark, NJ
National Provider Identifier
1386037935
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00658000 Issued in NJ
Practice address
875 Broad St
Newark, NJ 07102-2622
Phone
(973) 622-4492
NPI assigned
Mar 6, 2015
Last updated
Mar 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608000779 NJ Practitioner - Optometry 8426348152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

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 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00658000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2017 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2017 Accepting new patients
Eye Centers of America, LLC CurrentSince May 23, 2024 Accepting new patients
Arturi Eye Associates PC PastSince Jan 10, 1997 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.