Jeffrey Desilets, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA12394800 Issued in NJ

Practice address

1 N Washington Ave
Bergenfield, NJ 07621-2125

Phone

(201) 384-7333

NPI assigned

Mar 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Eye Center PAGroup PAC ID 0941295968, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdesilets@njeyecenter.intellechartdirect.net

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.

• New Jersey Eye Center, P.a.

  • Optometrist
  • Bergenfield, NJ
  • NPI 1235155615

  Ophthalmology

  Medicare reassignment NPD
• New Jersey Eye Center, P.a.

  • Ambulatory Surgical Clinic/Center
  • Bergenfield, NJ
  • NPI 1235234055
  Medicare reassignment NPD

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1992265029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-384-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-384-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESILETS",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "1014974",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA12394800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael August Degennaro, M.D.
• Dello Russo Family Eye Care Inc
• James Eric Dello Russo, OD
• Jeffrey S Dello Russo, MD
• Nisha Desai
• James Anthony Detura, R.PH.
• Louis Diamond, PA
• Paul Michael Diamond, MD
• Anyili Tatiana Digenio, MASSAGE THERAPIST
• Kimberly Disanto

• Ophthalmology Physician in Bergenfield, NJ
• Providers in Bergenfield, 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 Nov 5, 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.

Verify at the official NPI Registry.