Individual provider Active NPI

Brian Lilien

  • Optometrist
  • Rutherford, NJ
National Provider Identifier
1477089258
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA0067170 Issued in NJ
Practice address
31 Park Ave
Rutherford, NJ 07070-1711
Phone
(201) 939-2463
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA0067170 NJ Primary

Addresses

Primary practice location

31 Park Ave
Rutherford, NJ 07070-1711

Mailing address

31 Park Ave
Rutherford, NJ 07070-1711
Phone (201) 939-2463

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
I20220623001559 NJ Practitioner - Optometry 8224417118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Eye Center PAGroup PAC ID 0941295968, 9 clinicians

Practice addresses (Care Compare)

1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone 2013847333258

1 N Washington Ave
Bergenfield, NJ 07621-2160

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA0067170NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Robert Schorn Purnell LLC Optometrist PastSince Jan 20, 2013 Accepting new patients

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1477089258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PARK AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701711",
            "telephone_number": "201-939-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PARK AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701711",
            "telephone_number": "201-939-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILIEN",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA0067170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.