David Robert Pernelli, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA56275 Issued in NJ

Practice address

3071 E Chestnut Ave
Suite B 6
Vineland, NJ 08361-7847

Phone

(856) 205-1100

Fax

(856) 205-9163

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Ophthalmology

Education

Hahnemann University College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Institute of South Jersey, P.C.Group PAC ID 2769660190, 2 clinicians

Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.34 of 100Reported as group

Quality

80.85

Promoting interoperability

100

Improvement activities

40

Cost

76.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Eye Institute of South Jersey, P.C.

  • Optometrist
  • Vineland, NJ
  • NPI 1962525584

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Wills Eye Ophthalmology Clinic, Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1184624009
  Medicare reassignment Care Compare group NPD
• Cataract and Primary Eye Care Service, LP

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1417991720
  NPD (past)

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

• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Vineland

  • General Acute Care Hospital
  • Vineland, NJ
  • NPI 1164487542
  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1962446344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE",
            "address_2": "SUITE B 6",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "856-205-1100",
            "fax_number": "856-205-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE",
            "address_2": "SUITE B 6",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "856-205-1100",
            "fax_number": "856-205-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNELLI",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA56275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedersen Family Medicine, LLC
• Pediatric Associates LLC
• Pediatric Dentistry of South Jersey, P.C.
• Iris Perez, FNP
• Timothy Perkins, LCSW
• Personal Health Care for Women, PA
• Allison Rose Peters
• Lisa Peterson
• Igor V Petrenko, PHARMD.
• Alexis Marie Pettisani, DMD

• Ophthalmology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.