Theodore Falk, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MA40562 Issued in NJ

Practice address

63 Grand Ave
Ste 100
River Edge, NJ 07661

Phone

(201) 487-2900

Fax

(201) 487-1022

NPI assigned

Mar 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Allergy/Immunology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Weiss, M.D., P.a.Group PAC ID 0446236483, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score

21.21 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

70.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey Weiss MD PA

  • Allergy Physician
  • Riverdale, NJ
  • NPI 1316016629
  Medicare reassignment Care Compare group NPD
• Allergy and Immunology Associates of Teaneck and River Edge P a

  • Allergy & Immunology Physician
  • River Edge, NJ
  • NPI 1679612527
  Authorized official Same address or phone

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

• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• Holy Name Hospital Regional Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Teaneck, NJ
  • NPI 1043389349

  Hospital

  Care Compare affiliation
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912967464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 GRAND AVE",
            "address_2": "STE 100",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "07661",
            "telephone_number": "201-487-2900",
            "fax_number": "201-487-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GRAND AVE",
            "address_2": "STE 100",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "07661",
            "telephone_number": "201-487-2900",
            "fax_number": "201-487-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA40562",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "1375261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eihab Human Services New Jersey, Inc.
• Equality Mental Health. LLC
• Brianne Lee Etter, PT, DPT
• Evergreen Medical Group PC
• Eye Care of River Edge LLC
• Feiler Dental Associates, LLC
• Kenneth Feiler, DMD
• Elise Frances Feller, LCSW
• Carol-Ann Finan, MSED
• Jacqueline Finch, MSW, LCSW

• Allergy & Immunology Physician in River Edge, NJ
• Providers in River Edge, NJ by specialty
• Allergy & Immunology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.