Active NPI
Dina Prus, MD
- Endocrinology, Diabetes & Metabolism Physician
- Maplewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MA69784
- Practice address
- 264 Boyden Ave
Empire Medical Group
Maplewood, NJ 07040-3070 - Phone
- (973) 761-5200
- Fax
- (973) 761-7617
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MA69784 | NJ | Primary |
Addresses
Primary practice location
264 Boyden Ave
Empire Medical Group
Maplewood, NJ 07040-3070
Mailing address
264 Boyden Ave
Empire Medical Group
Maplewood, NJ 07040-3070
Phone (973) 761-5200
Other names 1
- Dina Prus-Wertheimer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2633 Centennial Blvd
Suite 100
Tallahassee, FL 32308-0606
Phone (850) 431-5404
324 Palisade Ave
FL 2
Jersey City, NJ 07307-1791
Phone (201) 386-1400
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA69784 | NJ | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Hospitalists Emo, LLC | Past | Accepting new patients | |
| Summit Medical Group PA | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
324 Palisade Ave
Fl 2
Jersey City, NJ 07307
Phone (201) 386-1400
264 Boyden Ave
Maplewood, NJ 07040
Phone (973) 761-0764
3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974
Interoperability endpoints
- dprus77106@direct.optum.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
dba Riverside Medical Group
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
dba Inpatient Medical Associates of New Jersey
- Hospitalist Physician
- Livingston, NJ
- NPI 1275575623
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1871565887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 BOYDEN AVE",
"address_2": "EMPIRE MEDICAL GROUP",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403070",
"telephone_number": "973-761-5200",
"fax_number": "973-761-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 BOYDEN AVE",
"address_2": "EMPIRE MEDICAL GROUP",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403070",
"telephone_number": "973-761-5200",
"fax_number": "973-761-7617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUS",
"first_name": "DINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "MA69784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DINA",
"last_name": "PRUS-WERTHEIMER",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.