Alejandro Bevacqua, MD PHYSICIAN
Individual provider Active NPI Ophthalmology Physician · Bergenfield, NJ
NPI 1487670865 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487670865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 25MA06768400 (NJ)
- Practice address
- 1 North Washington Avenue
Bergenfield, NJ 07621-2125 - Phone
- (201) 384-7333
- Fax
- (201) 384-2564
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- New York Medical College, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Centers of America LLC
Specialty MD Inc
Practice addresses (Care Compare)
1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632
195 Fairfield Ave
Suite 4B
West Caldwell, NJ 07006-6419
Phone (973) 228-4990
213 Park St
Montclair, NJ 07042-3915
Phone (973) 744-7457
89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991
906 Oak Tree Ave
Suite I
South Plainfield, NJ 07080-5127
Phone (908) 222-8700
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 96.31
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 140 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100611000759 | NJ | Practitioner - Ophthalmology | 0345309282 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06768400 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Centers of America, LLC | Ophthalmology | Current |
Accepting new patients |
| New Jersey Eye Center, P.a. | Current |
Accepting new patients | |
| NJ Eye Professionals, LLC | Ophthalmology | Current |
Accepting new patients |
| Specialty MD Inc | Ophthalmology | Current |
Accepting new patients |
| New Jersey Eye Center, P.a. | Ophthalmology | Current |
Accepting new patients |
Locations
1 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-7333
1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632
199 Broad St
Ste 2B
Bloomfield, NJ 07003
Phone (973) 748-3300
559 Anderson Ave
Ste 1
Cliffside Park, NJ 07010
213 Park St
Montclair, NJ 07042
Phone (973) 220-7612
906 Oak Tree Ave
Ste I
South Plainfield, NJ 07080
Phone (908) 222-3506
150 Maple Ave
South Plainfield, NJ 07080
Phone (732) 742-4638
195 Fairfield Ave
Ste 4B
West Caldwell, NJ 07006
Phone (973) 228-4990
Interoperability endpoints
- abevacqua260309@epicdirect.rwjbh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA06768400 | NJ | Yes |
Addresses
Primary practice location
1 North Washington Avenue
Bergenfield, NJ 07621-2125
Mailing address
1 North Washington Avenue
Bergenfield, NJ 07621-2125
Phone (201) 384-7333
Other providers in Bergenfield, NJ
- Bergenfield Physical Therapy and Rehabilitation, Inc
- Bergenfield Surgical Center LLC
- Bergenfield Women'S Health LLC
- Alisa Besdin Goldberger
- Betances SLP PC
- Beyond Medical Supplies LLC
- Kristina-Asha Bhagwat
- Billmed Supplies NJ LLC
- David Marc Blass
- Macie Leigh Bliss
All providers in Bergenfield, NJ · Ophthalmology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.