Individual provider Active NPI

Mary E. Mendelsohn, MD

  • Ophthalmology Physician
  • Woodcliff Lake, NJ
National Provider Identifier
1720161888
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06492200 Issued in NJ
Practice address
577 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8409
Phone
(201) 782-1700
Fax
(201) 782-1749
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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 25MA06492200 NJ Primary

Addresses

Primary practice location

577 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8409

Mailing address

577 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8409
Phone (201) 782-1700

Other identifiers 4

IdentifierTypeStateIssuer
1463637OtherGAUNITED HEALTHCARE
5329298OtherTXAETNA
7114788OtherTNCIGNA
P418296OtherCTOXFORD

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
I20050823000215 NJ Practitioner - Ophthalmology 3476584160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Stony Brook, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodcliff Lake Ophthalmology, LLP.Group PAC ID 1456495589, 4 clinicians

Practice addresses (Care Compare)

300 Tice Blvd
Suite 106
Woodcliff Lake, NJ 07677-8405
Phone (201) 782-1700

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
87.41
Improvement activities
40
Cost
62.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodcliff Lake Ophthalmology, LLP. Ophthalmology CurrentSince Jan 1, 2010 Accepting new patients
Woodcliff Lake Optical LLC Ophthalmology PastSince Jul 21, 2023 Accepting new patients

Locations

300 Tice Blvd
Ste 106
Woodcliff Lake, NJ 07677
Phone (201) 782-1700

577 Chestnut Ridge Rd
Woodcliff Lk, NJ 07677
Phone (201) 391-5770

Interoperability endpoints

  • Direct secure messaging: mmendelsohn@bergeneye.intellechartdirect.net

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1720161888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778409",
            "telephone_number": "201-782-1700",
            "fax_number": "201-782-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778409",
            "telephone_number": "201-782-1700",
            "fax_number": "201-782-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06492200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1463637",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5329298",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7114788",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P418296",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

Verify at the official NPI Registry.