Individual provider Active NPI

William C Oppenheim, M.D.

  • Orthopaedic Surgery Physician
  • Millburn, NJ
National Provider Identifier
1649376310
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA2618 Issued in NJ
Practice address
225 Millburn Ave
Suite 104 B
Millburn, NJ 07041-1737
Phone
(973) 379-1991
Fax
(973) 467-8647
NPI assigned
Sep 16, 2006
Last updated
May 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MA2618 NJ Primary

Addresses

Primary practice location

225 Millburn Ave
Suite 104 B
Millburn, NJ 07041-1737

Mailing address

225 Millburn Ave
Suite 104B
Millburn, NJ 07041
Phone (973) 379-1991

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
I20120327000403 NJ Practitioner - Orthopedic SurgeryPractitioner - Plastic and Reconstructive Surgery 1658531892 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA2618NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Feb 1, 2016 Accepting new patients
Barnabas Health Medical Group PC Orthopaedic Surgery CurrentSince Feb 1, 2016 Accepting new patients

Locations

631 Broadway
Bayonne, NJ 07002
Phone (201) 333-8248

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

225 Millburn Ave
Ste 104B
Millburn, NJ 07041
Phone (973) 379-5888

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1649376310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 104B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "973-379-1991",
            "fax_number": "973-467-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 104 B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-379-1991",
            "fax_number": "973-467-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIM",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA2618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.