Active NPI
Robert Selig Eagle, MD
- Gastroenterology Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA04064300
- Practice address
- 405 Northfield Ave
Ste. LL3
West Orange, NJ 07052-3026 - Phone
- (973) 731-7961
- Fax
- (973) 731-9855
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA04064300 | NJ | |
| Gastroenterology Physician | 207RG0100X | 25MA04064300 | NJ | Primary |
Addresses
Primary practice location
405 Northfield Ave
Ste. LL3
West Orange, NJ 07052-3026
Mailing address
85 S Jefferson St
Ste. 1
Orange, NJ 07050-1562
Phone (973) 677-3466
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0537608 | Medicaid | NJ | |
| RE011D1610 | Other | NY | EMPIRE BCBS |
| 1K9725 | Other | NJ | HEALTHNET |
| 854261 | Other | AMERIHEALTH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100522000081 | NJ | Practitioner - Gastroenterology | 8527196211 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Barnabas Health Medical Group PC
Practice addresses (Care Compare)
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 58 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Primary Medical Care Professional | Gastroenterology | Past | Accepting new patients |
Locations
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
85 S Jefferson St
Ste 3
Orange, NJ 07050
Phone (973) 673-3522
405 Northfield Ave
Ste LL3
West Orange, NJ 07052
Phone (973) 731-6565
741 Northfield Ave
Ste 100
West Orange, NJ 07052
Phone (973) 243-2200
Interoperability endpoints
- reagle45880@epicdirect.rwjbh.org
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.
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Gastroenterology Physician
- Orange, NJ
- NPI 1588687479
Gastroenterology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1922012335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 S JEFFERSON ST",
"address_2": "STE. 1",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070501562",
"telephone_number": "973-677-3466",
"fax_number": "973-677-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 NORTHFIELD AVE",
"address_2": "STE. LL3",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523026",
"telephone_number": "973-731-7961",
"fax_number": "973-731-9855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLE",
"first_name": "ROBERT",
"middle_name": "SELIG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA04064300",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA04064300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0537608",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "RE011D1610",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K9725",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "854261",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.