Individual provider Active NPI

Theodore Perl, M.D.

  • Ophthalmology Physician
  • Fairfield, NJ
National Provider Identifier
1598710378
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MAO43248 Issued in NJ
Practice address
100 Passaic Ave
Suite 200
Fairfield, NJ 07004-3520
Phone
(973) 439-3937
Fax
(973) 439-3944
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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 MAO43248 NJ Primary

Addresses

Primary practice location

100 Passaic Ave
Suite 200
Fairfield, NJ 07004-3520

Mailing address

100 Passaic Ave
Suite 200
Fairfield, NJ 07004-3520
Phone (973) 439-3937

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
I20110405000353 NJ Practitioner - Ophthalmology 7416966643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
87.14
Promoting interoperability
92
Improvement activities
40
Cost
78.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MAO43248NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Specialists P a Ophthalmology CurrentSince Apr 1, 2019 Accepting new patients

Locations

100 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (973) 439-3937

218 State Rt 17 N
Rochelle Park, NJ 07662
Phone (201) 368-4200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1598710378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043520",
            "telephone_number": "973-439-3937",
            "fax_number": "973-439-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043520",
            "telephone_number": "973-439-3937",
            "fax_number": "973-439-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERL",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MAO43248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.