Individual provider Active NPI

Michael K Maley, MD

  • Ophthalmology Physician
  • Elmwood Park, NJ
National Provider Identifier
1598742736
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD11898 Issued in RI
Practice address
619 River Dr
Second Floor
Elmwood Park, NJ 07407-1317
Phone
(201) 769-2020
Fax
(201) 796-3644
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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 MD11898 RI Primary

Addresses

Primary practice location

619 River Dr
Second Floor
Elmwood Park, NJ 07407-1317

Mailing address

619 River Dr
Second Floor
Elmwood Park, NJ 07407-1317
Phone (201) 769-2020

Other identifiers 2

IdentifierTypeStateIssuer
9004241MedicaidRI
2127997MedicaidMA

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
I20071003000225 NJ Practitioner - Ophthalmology 7416936380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Vermont College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians

Practice addresses (Care Compare)

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11898RIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Specialists P a Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Omni Eye Surgery of New York PC Ophthalmology Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

619 River Dr
#12
Elmwood Park, NJ 07407

619 River Dr
#2
Elmwood Park, NJ 07407
Phone (201) 796-2020

619 River Dr
Fl Second
Elmwood Park, NJ 07407
Phone (201) 769-2020

619 River Dr
Fl 2
Elmwood Park, NJ 07407
Phone (201) 796-2020

619 River Dr
Fl 1
Elmwood Park, NJ 07407
Phone (201) 703-2900

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

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

2201 Bergenline Ave
Ste 3
Union City, NJ 07087
Phone (908) 341-2629

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.maley.p1@direct.omnieyeservices.nextgenshare.com

Organizations & group practices 2

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1598742736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 RIVER DR",
            "address_2": "SECOND FLOOR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071317",
            "telephone_number": "201-769-2020",
            "fax_number": "201-796-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 RIVER DR",
            "address_2": "SECOND FLOOR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071317",
            "telephone_number": "201-769-2020",
            "fax_number": "201-796-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEY",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD11898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004241",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127997",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

Verify at the official NPI Registry.