Individual provider Active NPI

Richard Stephen Kresloff, M.D.

  • Ophthalmology Physician
  • Collingswood, NJ
National Provider Identifier
1770674236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA02733000 Issued in NJ
Practice address
900 Haddon Ave
Suite 102
Collingswood, NJ 08108-2101
Phone
(856) 854-4242
Fax
(856) 854-3585
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25MA02733000 NJ Primary

Addresses

Primary practice location

900 Haddon Ave
Suite 102
Collingswood, NJ 08108-2101

Mailing address

900 Haddon Ave
Suite 102
Collingswood, NJ 08108-2101
Phone (856) 854-4242

Other identifiers 1

IdentifierTypeStateIssuer
2454602MedicaidNJ

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
I20100528000091 NJ Practitioner - Ophthalmology 8820057540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard S Kresloff M D P aGroup PAC ID 1254460348, 5 clinicians

Practice addresses (Care Compare)

1055 Haddon Ave
Collingswood, NJ 08108-2047
Phone (856) 854-4242

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S Kresloff,MD, PA Ophthalmology CurrentSince Mar 21, 1990 Accepting new patients
Richard S. Kresloff MD PA Ophthalmology CurrentSince Mar 21, 1990 Accepting new patients

Locations

1055 Haddon Ave
Haddon Township, NJ 08108
Phone (856) 854-4242

900 Haddon Ave
Ste 102
Haddon Township, NJ 08108
Phone (856) 854-4242

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770674236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE",
            "address_2": "SUITE 102",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082101",
            "telephone_number": "856-854-4242",
            "fax_number": "856-854-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE",
            "address_2": "SUITE 102",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082101",
            "telephone_number": "856-854-4242",
            "fax_number": "856-854-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESLOFF",
        "first_name": "RICHARD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02733000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2454602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

Verify at the official NPI Registry.