Eric M Black, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Florham Park, NJ
NPI 1982863338 · NPPES record last updated Oct 11, 2017
Key facts
- NPI
- 1982863338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 25MA09275800 (NJ)
- Practice address
- 140 Park Ave
Florham Park, NJ 07932-1049 - Phone
- (973) 404-9800
- Fax
- (973) 267-1737
- NPI assigned
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Columbia University College of Physicians and Surgeons, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Summit Medical Group PA
Rehabilitation Associates Inc
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
Hospital & facility affiliations
- Visiting Nurse Assoc of Northern New Jersey, Inc
- Atlantic Visiting Nurse
- Morristown Medical Center
- St Joseph'S University Medical Center Inc
- Overlook Medical Center
- Kessler Rehab Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 187 |
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 |
|---|---|---|---|---|
| I20130923000185 | NJ | Practitioner - Orthopedic Surgery | 4486811700 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09275800 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Orthopaedic Surgery | Current |
Accepting new patients |
| Summit Medical Group PA | Current |
Accepting new patients | |
| Summit Medical Group, Inc | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
140 Park Ave
Florham Park, NJ 07932
Phone (973) 285-7613
150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MA09275800 | NJ | Yes |
Addresses
Primary practice location
140 Park Ave
Florham Park, NJ 07932-1049
Mailing address
925 Chestnut St
5TH Floor
Philadelphia, PA 19107-4216
Other providers in Florham Park, NJ
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- Bioscrip Infusion Services, LLC.
- Emily Bitton
- Megan Ann Blanton
- Blooming Abilities ABA
- Darren Reich Blumberg
- BN Counseling, LLC
- Lyndsi Bodtmann
All providers in Florham Park, NJ · Orthopaedic Surgery 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 Oct 11, 2017. 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.