Individual provider Active NPI

Robert Wertheimer, MD

  • Ophthalmology Physician
  • West Caldwell, NJ
National Provider Identifier
1972692598
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA69761 Issued in NJ
Practice address
195 Fairfield Ave
Suite 4B
West Caldwell, NJ 07006-6424
Phone
(973) 228-4990
Fax
(973) 228-4464
NPI assigned
Oct 12, 2006
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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 MA69761 NJ Primary

Addresses

Primary practice location

195 Fairfield Ave
Suite 4B
West Caldwell, NJ 07006-6424

Mailing address

195 Fairfield Ave
Suite 4B
West Caldwell, NJ 07006-6424
Phone (973) 228-4990

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
I20100830000472 NJ Practitioner - Ophthalmology 4981763828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

195 Fairfield Ave
Suite 4B
West Caldwell, NJ 07006-6419
Phone (973) 228-4990

213 Park St
Montclair, NJ 07042-3915
Phone (973) 744-7457

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA69761NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC Ophthalmology CurrentSince Nov 11, 2019 Accepting new patients
The Eye Clinic NJ Ophthalmology PastSince Mar 1, 2020 Accepting new patients

Locations

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

199 Broad St
Ste 2B
Bloomfield, NJ 07003
Phone (973) 337-8565

559 Anderson Ave
Ste 1
Cliffside Park, NJ 07010

213 Park St
Montclair, NJ 07042
Phone (973) 220-7612

1095 Morris Ave
Ste 400
Union, NJ 07083
Phone (908) 686-2525

195 Fairfield Ave
Ste 4B
West Caldwell, NJ 07006
Phone (973) 228-4990

Interoperability endpoints

  • Direct secure messaging: robert.wertheimer.1@3162.direct.athenahealth.com
  • Direct secure messaging: rwertheimer237804@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1972692598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FAIRFIELD AVE",
            "address_2": "SUITE 4B",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066424",
            "telephone_number": "973-228-4990",
            "fax_number": "973-228-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FAIRFIELD AVE",
            "address_2": "SUITE 4B",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066424",
            "telephone_number": "973-228-4990",
            "fax_number": "973-228-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTHEIMER",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA69761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.