Active NPI
Theodore Perl, M.D.
- Ophthalmology Physician
- Fairfield, NJ
National Provider Identifier
1598710378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MAO43248
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.91 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MAO43248 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Eye Specialists P a | Ophthalmology | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.