Active NPI
Glen M Bianchi, MD
- Ophthalmology Physician
- Westwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA 07744000
- Practice address
- 300 Fairview Avenue
Westwood, NJ 07675 - Phone
- (201) 666-4014
- Fax
- (201) 666-4754
- NPI assigned
- May 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA 07744000 | NJ | Primary |
Addresses
Primary practice location
300 Fairview Avenue
Westwood, NJ 07675
Mailing address
PO Box 698
300 Fairview Avenue
Westwood, NJ 07675
Phone (201) 666-4014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00228763 | Other | RR MEDICARE | |
| 222103828 | Other | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of New York at Stony Brook, School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Fairview Ave
Westwood, NJ 07675-1749
Phone (201) 666-4014
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.45 of 100
- Quality
- 96.9
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA 07744000 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refocus Eye Health of NJ, P.C. | Current | Accepting new patients | |
| Refocus Eye Health of NJ, P.C. | Ophthalmology | Current | Accepting new patients |
| Refocus Eye Health of Central Connecticut, P.C. | Ophthalmology | Current | Accepting new patients |
Locations
3 Cooper Plz
Rm 510
Camden, NJ 08103
Phone (215) 288-5000
100 Brick Rd
Ste 115
Marlton, NJ 08053
Phone (856) 983-1400
300 Fairview Ave
Westwood, NJ 07675
Phone (201) 666-2150
Interoperability endpoints
- gbianchi@refocus.intellechartdirect.net
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Camden, NJ
- NPI 1093316549
-
- Eyewear Supplier
- Oakland, NJ
- NPI 1912867052
-
- Ophthalmology Physician
- Waterbury, CT
- NPI 1548874936
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1780636019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"address_2": "300 FAIRVIEW AVENUE",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "07675",
"telephone_number": "201-666-4014",
"fax_number": "201-666-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FAIRVIEW AVENUE",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "07675",
"telephone_number": "201-666-4014",
"fax_number": "201-666-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCHI",
"first_name": "GLEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA 07744000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00228763",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "222103828",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, NJ
- Bergen County Center for Educational & Psychological Services, LLC
- Bergen Pediatric Speech Therapy
- Bergen Pediatric Therapy Center
- Bergen Periodontic Assoc LLC
- Nisha Bhatt, PT, MS
- Nicholas Joseph Biancola Jr., MSW., LCSW
- Katarina Bieri
- Robyn T Bilinski, MD
- Biopath Diagnostic Associates, PC
- Blue Heron Vitality LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.