Individual provider Active NPI

Todd Owen Leventhal, M.D.

  • Ophthalmology Physician
  • New Providence, NJ
National Provider Identifier
1609875251
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA66963 Issued in NJ
Practice address
571 Central Ave Ste 101
New Providence, NJ 07974-1547
Phone
(908) 464-4600
Fax
(908) 464-4737
NPI assigned
Jul 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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 MA66963 NJ Primary

Addresses

Primary practice location

571 Central Ave Ste 101
New Providence, NJ 07974-1547

Mailing address

571 Central Ave Ste 101
New Providence, NJ 07974-1547
Phone (908) 464-4600

Other identifiers 7

IdentifierTypeStateIssuer
0973728OtherNJUS HEALTHCARE
7129567-014OtherNJCIGNA
5349261OtherNJAETNA
7516801MedicaidNJ
005730ANJOtherNJINDIVIDUAL PTAN
5715857OtherNJGHI
P2174979OtherNJOXFORD

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
I20050822001387 NJ Practitioner - Ophthalmology 4688605454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Heights Eye Group, PAGroup PAC ID 6002907094, 2 clinicians

Practice addresses (Care Compare)

571 Central Ave
Suite 101
New Providence, NJ 07974-1547
Phone (908) 464-4600

Merit-based Incentive Payment System (MIPS)

Final score
92.7 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA66963NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Heights Eye Group, PA Ophthalmology CurrentSince Mar 30, 1998 Accepting new patients
Paul Phillips Eye & Surgery Center PC Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
Berkeley Heights Eye Group, PA CurrentSince Mar 30, 1998 Accepting new patients
Paul Phillips Eye & Surgery Center PC Ophthalmology PastSince Nov 1, 2007 Accepting new patients

Locations

1 Monroe St
Bridgewater, NJ 08807
Phone (908) 526-4588

571 Central Ave
Ste 101
New Providnce, NJ 07974
Phone (908) 464-4600

Interoperability endpoints

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

Organizations & group practices 4

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": "1121472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1609875251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE STE 101",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741547",
            "telephone_number": "908-464-4600",
            "fax_number": "908-464-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE STE 101",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741547",
            "telephone_number": "908-464-4600",
            "fax_number": "908-464-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENTHAL",
        "first_name": "TODD",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-16",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA66963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "0973728",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7129567-014",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5349261",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7516801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "005730ANJ",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5715857",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2174979",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

Verify at the official NPI Registry.