Individual provider Active NPI

Glen M Bianchi, MD

  • Ophthalmology Physician
  • Westwood, NJ
National Provider Identifier
1780636019
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA 07744000 Issued in NJ
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

Updated by the provider on Nov 13, 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 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

IdentifierTypeStateIssuer
P00228763OtherRR MEDICARE
222103828OtherBCBS

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
I20040723000414 NJ Practitioner - Ophthalmology 3870573454 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, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refocus Eye Health of NJ PCGroup PAC ID 2365830668, 46 clinicians

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 100Reported as group
Quality
96.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA 07744000NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of NJ, P.C. CurrentSince May 2, 2025 Accepting new patients
Refocus Eye Health of NJ, P.C. Ophthalmology CurrentSince May 2, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.