Active NPI
Lisa Ann Ortenzio, OD
- Optometrist
- New York, NY
National Provider Identifier
1598766248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27AO00548000
- Practice address
- 20 E 46TH St
Penthouse
New York, NY 10017-2417 - Phone
- (212) 353-0030
- Fax
- (212) 353-0083
- NPI assigned
- Aug 3, 2005
- Last updated
- Dec 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27AO00548000 | NJ | Primary |
Addresses
Primary practice location
20 E 46TH St
Penthouse
New York, NY 10017-2417
Mailing address
20 E 46TH St
Penthouse
New York, NY 10017-2417
Phone (212) 353-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Main St
Bedminster, NJ 07921-2604
Phone (908) 781-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.98 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008502 | NY | MD | Mental Health Counselor |
| 27AO00548000 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedminster Eye and Laser Center, P.a. | Optometrist | Current | Accepting new patients |
Locations
400 Main St
Bedminster, NJ 07921
Phone (908) 332-2471
Interoperability endpoints
- lortenzio@bedminstereye.direct.eyemdemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Bedminster, NJ
- NPI 1659473973
Optometrist
-
- Ophthalmology Physician
- New York, NY
- NPI 1598748659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1598766248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 E 46TH ST",
"address_2": "PENTHOUSE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100172417",
"telephone_number": "212-353-0030",
"fax_number": "212-353-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E 46TH ST",
"address_2": "PENTHOUSE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100172417",
"telephone_number": "212-353-0030",
"fax_number": "212-353-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTENZIO",
"first_name": "LISA ANN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-03",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27AO00548000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.