Individual provider Active NPI

Regina Helen Altemus, OD

  • Optometrist
  • Bala Cynwyd, PA
National Provider Identifier
1801316542
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003265 Issued in PA
Practice address
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone
(484) 434-2700
Fax
(610) 660-0419
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00730800 NJ
Optometrist 152W00000X OEG003265 PA Primary

Addresses

Primary practice location

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108

Mailing address

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

Other practice location 1

775 Route 70 E Ste F180
Marlton, NJ 08053-2367
Phone (856) 596-1601

Other names 1

  • Regina Helen Gaw Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170803000182 PA Practitioner - Optometry 2860763240 Reassigns benefits to 2 organizations
I20240802003038 NJ Practitioner - Optometry 2860763240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Partners PCGroup PAC ID 7416368667, 13 clinicians

Practice addresses (Care Compare)

100 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

775 Route 70 E
Suite F180
Marlton, NJ 08053-2367
Phone (856) 596-1601

Merit-based Incentive Payment System (MIPS)

Final score
78.31 of 100Reported as group
Quality
56.34
Promoting interoperability
98
Improvement activities
40
Cost
73.04

Merit-based Incentive Payment System (MIPS)

Final score
82.11 of 100Reported as group
Quality
78.1
Promoting interoperability
89
Improvement activities
40
Cost
71.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00730800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Optometrist CurrentSince Jul 1, 2017 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Ophthalmic Partners PC Optometrist CurrentSince May 18, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2017 Accepting new patients
JB Popivchak Inc PastSince Dec 26, 2023 Accepting new patients

Locations

775 Route 70 E
Ste F180
Marlton, NJ 08053
Phone (856) 596-1601

1500 Tilton Rd
Northfield, NJ 08225
Phone (484) 434-2700

100 Presidential Blvd
Ste 200
Bala Cynwyd, PA 19004
Phone (484) 434-2700

840 Walnut St
Ste 1210
Philadelphia, PA 19107
Phone (215) 928-3240

3400 Civic Center Blvd
Fl 3
Philadelphia, PA 19104
Phone (215) 614-4100

Interoperability endpoints

  • Direct secure messaging: regina.altemus.p1@direct.oppdoctors.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1801316542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Route 70 E Ste F180",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532367",
            "country_code": "US",
            "telephone_number": "856-596-1601",
            "fax_number": "856-983-0396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTEMUS",
        "first_name": "REGINA",
        "middle_name": "HELEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00730800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "GAW",
            "middle_name": "HELEN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.