Individual provider Active NPI

Alejandro Bevacqua, MD PHYSICIAN

  • Ophthalmology Physician
  • Bergenfield, NJ
National Provider Identifier
1487670865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06768400 Issued in NJ
Practice address
1 North Washington Avenue
Bergenfield, NJ 07621-2125
Phone
(201) 384-7333
Fax
(201) 384-2564
NPI assigned
Jul 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 25MA06768400 NJ Primary

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

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000759 NJ Practitioner - Ophthalmology 0345309282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 7315125184, 127 clinicians
Specialty MD IncGroup PAC ID 6709805351, 4 clinicians

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 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery140
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty MD Inc Ophthalmology CurrentSince Feb 1, 2020 Accepting new patients
New Jersey Eye Center, P.a. Ophthalmology CurrentSince Jul 21, 1998 Accepting new patients
New Jersey Eye Center, P.a. CurrentSince Jul 21, 1998 Accepting new patients
Eye Centers of America, LLC Ophthalmology CurrentSince Nov 11, 2019 Accepting new patients
NJ Eye Professionals, LLC Ophthalmology CurrentSince Feb 1, 2020 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

150 Maple Ave
South Plainfield, NJ 07080
Phone (732) 742-4638

906 Oak Tree Ave
Ste I
South Plainfield, NJ 07080
Phone (908) 222-3506

195 Fairfield Ave
Ste 4B
West Caldwell, NJ 07006
Phone (973) 228-4990

Interoperability endpoints

  • Direct secure messaging: abevacqua260309@epicdirect.rwjbh.org

Organizations & group practices 5

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487670865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTH WASHINGTON AVENUE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-384-7333",
            "fax_number": "201-384-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH WASHINGTON AVENUE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-384-7333",
            "fax_number": "201-384-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVACQUA",
        "first_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "MD PHYSICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06768400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

Verify at the official NPI Registry.