Individual provider Active NPI

Brett Bielory, M.D.

  • Ophthalmology Physician
  • Rutherford, NJ
National Provider Identifier
1437592946
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA09617200 Issued in NJ
Practice address
201 17 North
Suite 1202
Rutherford, NJ 07070
Phone
(551) 257-7001
Fax
(551) 257-7002
NPI assigned
Apr 15, 2013
Last updated
May 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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 25MA09617200 NJ Primary

Addresses

Primary practice location

201 17 North
Suite 1202
Rutherford, NJ 07070

Mailing address

100 Woods Rd
Macy Pavilion Room 1044
Valhalla, NY 10595-1530
Phone (914) 493-7671

Other practice location 1

100 Woods Rd
Macy Pavilion Room 1044
Valhalla, NY 10595-1530
Phone (914) 493-7671

Other identifiers 1

IdentifierTypeStateIssuer
BB3232267556OtherCABB3232267556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180618000122 NJ Practitioner - Ophthalmology 9537436951 Reassigns benefits to 3 organizations
I20180814001658 NY Practitioner - Ophthalmology 9537436951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2010
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

185 Cedar LN
Suite L4
Teaneck, NJ 07666-4303
Phone (201) 836-0888

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Glaucoma Medical PC Ophthalmology CurrentSince Apr 15, 2019 Accepting new patients
Starx Allergy & Asthma Center LLC CurrentSince May 1, 2018 Accepting new patients
Intermed Care PC CurrentSince Jun 16, 2018 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Oct 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jan 1, 2021 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Oct 1, 2019 Accepting new patients
Eye Centers of America, LLC Ophthalmology CurrentSince May 23, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jan 1, 2021 Accepting new patients
Joseph R. Podhorzer, MD, PLLC Ophthalmology Past Accepting new patients
Starx Asthma & Allergy Center LLC PastSince May 1, 2018 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

559 Anderson Ave
Ste 1
Cliffside Park, NJ 07010

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

324 Palisade Ave
Fl 2
Jersey City, NJ 07307
Phone (201) 386-1400

201 State Rt 17
Fl 1202
Rutherford, NJ 07070
Phone (201) 975-2323

185 Cedar Ln
Ste L4
Teaneck, NJ 07666
Phone (201) 836-0888

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380

103 Quentin Rd
Ste G11
Brooklyn, NY 11223
Phone (718) 645-2201

3048 Brighton 1st St
Brooklyn, NY 11235
Phone (718) 368-1170

3048 Brighton 1st St
Ste 1
Brooklyn, NY 11235
Phone (718) 368-1170

111 Wadsworth Ave
New York, NY 10033
Phone (212) 740-7400

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bbielory@ecoa.intellechartdirect.net

Organizations & group practices 10

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1437592946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "address_2": "MACY PAVILION ROOM 1044",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 17 NORTH",
            "address_2": "SUITE 1202",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "551-257-7001",
            "fax_number": "551-257-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_2": "Macy Pavilion Room 1044",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIELORY",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09617200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BB3232267556",
            "identifier": "BB3232267556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.