Individual provider Active NPI

Marvin H Wertentheil, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1457370835
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
135611 Issued in NY
Practice address
2270 Kimball St
Suite 207
Brooklyn, NY 11234-5139
Phone
(718) 258-8383
Fax
(718) 258-0773
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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 135611 NY Primary

Addresses

Primary practice location

2270 Kimball St
Suite 207
Brooklyn, NY 11234-5139

Mailing address

2270 Kimball St
Suite 207
Brooklyn, NY 11234-5139
Phone (718) 258-8383

Other identifiers 1

IdentifierTypeStateIssuer
00589780MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110428000268 NY Practitioner - Ophthalmology 4880883867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Medical Services PCGroup PAC ID 5496248015, 2 clinicians

Practice addresses (Care Compare)

951 E 23Rd St
Brooklyn, NY 11210-3621
Phone (347) 804-4666

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135611NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Finestone & Wertentheil MDS PC Ophthalmology CurrentSince Mar 9, 1988 Accepting new patients
Ophthalmology Medical Services PC Ophthalmology CurrentSince Sep 20, 2025 Accepting new patients

Locations

2270 Kimball St
Ste 207
Brooklyn, NY 11234
Phone (718) 258-8383

2938 Far Rockaway Blvd
Far Rockaway, NY 11691
Phone (718) 283-7192

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1457370835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 KIMBALL ST",
            "address_2": "SUITE 207",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345139",
            "telephone_number": "718-258-8383",
            "fax_number": "718-258-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 KIMBALL ST",
            "address_2": "SUITE 207",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345139",
            "telephone_number": "718-258-8383",
            "fax_number": "718-258-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTENTHEIL",
        "first_name": "MARVIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "135611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00589780",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.