Individual provider Active NPI

Ilya M Rozenbaum, M.D.

  • Ophthalmology Physician
  • Pennington, NJ
National Provider Identifier
1831240704
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25 MA 08432000 Issued in NJ
Practice address
2 Capital Way
Suite 326
Pennington, NJ 08534-2521
Phone
(609) 882-8833
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 233311 NY
Ophthalmology Physician 207W00000X 25 MA 08432000 NJ Primary
Ophthalmology Physician 207W00000X MD433967 PA

Addresses

Primary practice location

2 Capital Way
Suite 326
Pennington, NJ 08534-2521

Mailing address

2 Capital Way
Suite 326
Pennington, NJ 08534-2521
Phone (609) 882-8833

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080609000084 PA Practitioner - Ophthalmology 9638279938 Reassigns benefits to 2 organizations
I20080812000330 NJ Practitioner - Ophthalmology 9638279938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 882-8833

501 Hyde Park
Doylestown, PA 18902-6606
Phone (215) 230-9200

Hospital & facility affiliations

  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25 MA 08432000NJMDOphthalmology Physician
233311NYMDOphthalmology Physician
MD433967PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Feb 15, 2019 Accepting new patients
Associated Retinal Consultants LLC CurrentSince Feb 15, 2019 Accepting new patients
Lehigh Valley Eye Center, P.C. CurrentSince Mar 1, 2024 Accepting new patients

Locations

2 Capital Way
Ste 326A
Pennington, NJ 08534

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

1445 Whitehorse Mercerville Rd
Ste 106
Trenton, NJ 08619
Phone (609) 890-0772

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

400 N 17th St
Ste 101
Allentown, PA 18104
Phone (215) 433-0450

501 Hyde Park
Ste 202
Doylestown, PA 18902

501 Hyde Park
Doylestown, PA 18902
Phone (215) 230-9200

9126 Blue Grass Rd
Philadelphia, PA 19114
Phone (215) 330-0050

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 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1831240704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 326",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-882-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 326",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-882-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZENBAUM",
        "first_name": "ILYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "233311",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25 MA 08432000",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD433967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.