Individual provider Active NPI

Marta Regina Ponce Contreras, M.D.

  • Ophthalmology Physician
  • River Edge, NJ
National Provider Identifier
1942363437
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA08184500 Issued in NJ
Practice address
1060 Main St
Suite 301
River Edge, NJ 07661-2591
Phone
(201) 489-0096
Fax
(201) 488-2930
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA08184500 NJ Primary

Addresses

Primary practice location

1060 Main St
Suite 301
River Edge, NJ 07661-2591

Mailing address

15 Column CT
Ramsey, NJ 07446-2002
Phone (201) 818-2034

Other identifiers 7

IdentifierTypeStateIssuer
7223970OtherNJAETNA
387749500OtherNJAMERIHEALTH
454509813OtherNJMAGNACARE
7044084OtherNJCIGNA
P4464080OtherNJOXFORD
11774599OtherNJANTHEM
454509813OtherNJUNITED HEALTHCARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070316000443 NJ Practitioner - Ophthalmology 9537262282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1060 Main St
Suite 301
River Edge, NJ 07661-2592
Phone (201) 489-0096

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
79.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08184500NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2012 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2012 Accepting new patients
Associated Eye Physicians, P.a. Ophthalmology Past Accepting new patients
Alessandra Bertolucci MD LLC Ophthalmology PastSince Dec 5, 2008 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22072/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marta.poncecontreras@direct.hackensackmeridian.org
  • Direct secure messaging: mponce-contreras@ecore.intellechartdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1942363437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COLUMN CT",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462002",
            "telephone_number": "201-818-2034",
            "fax_number": "973-472-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST",
            "address_2": "SUITE 301",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591",
            "telephone_number": "201-489-0096",
            "fax_number": "201-488-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE CONTRERAS",
        "first_name": "MARTA",
        "middle_name": "REGINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08184500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7223970",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "387749500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "454509813",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7044084",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P4464080",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "11774599",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "454509813",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

Verify at the official NPI Registry.