Individual provider Active NPI

Louis V Angioletti Jr., M.D.

  • Ophthalmology Physician
  • Teaneck, NJ
National Provider Identifier
1528067832
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA02310800 Issued in NJ
Practice address
1086 Teaneck Road
Suite 2a
Teaneck, NJ 07666
Phone
(201) 871-3414
Fax
(201) 871-4830
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 105144-1 NY
Retina Specialist (Ophthalmology) Physician 207WX0107X 25MA10886200 NJ
Ophthalmology Physician 207W00000X 25MA02310800 NJ Primary

Addresses

Primary practice location

1086 Teaneck Road
Suite 2a
Teaneck, NJ 07666

Mailing address

1 Corporate Dr
Wayne, NJ 07470-3112
Phone (973) 987-3380

Other practice location 1

1095 Morris Ave Ste 103A
Union, NJ 07083-7170
Phone (908) 312-1001

Other practice location 2

500 N Franklin Tpke Ste 205
Ramsey, NJ 07446-1160
Phone (201) 962-9396

Other practice location 3

6121 Kennedy Blvd Ste 1
North Bergen, NJ 07047-3483
Phone (201) 766-5151

Other practice location 4

1255 Broad St Ste 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

Other practice location 5

1 Corporate Dr
Wayne, NJ 07470-3112
Phone (973) 987-3380

Other identifiers 6

IdentifierTypeStateIssuer
518496OtherNJAETNA INSURANCE CO.
NS416OtherNJOXFORD HEALTH PLANS
00305091MedicaidNY
OC5520OtherNJHEALTHNET INSURANCE
525135OtherNYAETNA INSURANCE COMPANY
1369407MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address louisangioletti@retinanj.intellechartdirect.net Eye Centers Of America, LLC

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
I20100312000385 NJ Practitioner - Ophthalmology 4385783786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA02310800NJMDOphthalmology Physician
105144-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC Ophthalmology CurrentSince May 14, 2017 Accepting new patients
Eye Centers of America, LLC CurrentSince May 14, 2017 Accepting new patients
Phillips Eye Center PA Ophthalmology Past Accepting new patients

Locations

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

6121 Kennedy Blvd
Ste 1
North Bergen, NJ 07047
Phone (201) 766-5151

500 N Franklin Tpke
Ste 205
Ramsey, NJ 07446
Phone (201) 962-9396

1086 Teaneck Rd
Ste 2A
Teaneck, NJ 07666
Phone (201) 871-3414

1095 Morris Ave
Ste 103A
Union, NJ 07083
Phone (908) 312-1001

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

Organizations & group practices 3

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1528067832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703112",
            "telephone_number": "973-987-3380",
            "fax_number": "866-806-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 TEANECK ROAD",
            "address_2": "SUITE 2A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-871-3414",
            "fax_number": "201-871-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1095 Morris Ave Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837170",
            "country_code": "US",
            "telephone_number": "908-312-1001",
            "fax_number": "908-312-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Franklin Tpke Ste 205",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074461160",
            "country_code": "US",
            "telephone_number": "201-962-9396",
            "fax_number": "201-474-7048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6121 Kennedy Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070473483",
            "country_code": "US",
            "telephone_number": "201-766-5151",
            "fax_number": "201-766-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Broad St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NJ",
            "postal_code": "070033061",
            "country_code": "US",
            "telephone_number": "973-707-5632",
            "fax_number": "973-707-7349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074703112",
            "country_code": "US",
            "telephone_number": "973-987-3380",
            "fax_number": "973-987-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGIOLETTI",
        "first_name": "LOUIS",
        "middle_name": "V",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "105144-1",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA10886200",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02310800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE CO.",
            "identifier": "518496",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "NS416",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00305091",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET INSURANCE",
            "identifier": "OC5520",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE COMPANY",
            "identifier": "525135",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1369407",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "louisangioletti@retinanj.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Centers Of America, LLC",
            "address_1": "1255 Broad St",
            "address_2": "Ste 104",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.