Theodore Falk, MD
Individual provider Active NPI Allergy & Immunology Physician · River Edge, NJ
NPI 1912967464 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912967464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- MA40562 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
44 Route 23 N
Suite 6
Riverdale, NJ 07457-1603
Phone (973) 248-9199
Hospital & facility affiliations
- Holy Name Medical Center
- Englewood Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.21 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 70.7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060105000242 | NJ | Practitioner - Allergy/Immunology | 5193748119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA40562 | NJ | MD | Allergy & Immunology Physician |
| 1375261 | NY | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Weiss MD PA | Current |
Accepting new patients |
Locations
261 James St
Ste 1D
Morristown, NJ 07960
Phone (973) 267-3646
63 Grand Ave
Ste 100
River Edge, NJ 07661
Phone (201) 487-2900
44 State Rt 23
Ste 6
Riverdale, NJ 07457
Phone (973) 248-9199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MA40562 | NJ | Yes |
| Allergy & Immunology Physician | 207K00000X | 1375261 | NY |
Addresses
Primary practice location
63 Grand Ave
Ste 100
River Edge, NJ 07661
Mailing address
63 Grand Ave
Ste 100
River Edge, NJ 07661
Phone (201) 487-2900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0910406 | Medicaid | NJ |
Other providers in River Edge, NJ
- Eihab Human Services New Jersey, Inc.
- Equality Mental Health. LLC
- Brianne Lee Etter
- Evergreen Medical Group PC
- Eye Care of River Edge LLC
- Feiler Dental Associates, LLC
- Kenneth Feiler
- Elise Frances Feller
- Carol-Ann Finan
- Jacqueline Finch
All providers in River Edge, NJ · Allergy & Immunology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.