Thomas R Ortiz, MD - Medicare Family Practice in Newark, NJ

Thomas R Ortiz, MD is a medicare enrolled "Family Medicine" physician in Newark, New Jersey. He went to Rutgers New Jersey Medical School and graduated in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Vmd Primary Providers Of New Jersey Llc and his current practice location is 465 Mt. Prospect Ave., Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 483-3640.

Thomas R Ortiz is licensed to practice in New Jersey (license number MA 40692) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750312450.

Contact Information

Thomas R Ortiz, MD
465 Mt. Prospect Ave.,
Newark, NJ 07104
(973) 483-3640
(973) 483-0132

Map and Direction




Physician's Profile

Full NameThomas R Ortiz
GenderMale
SpecialityFamily Practice
Experience43 Years
Location465 Mt. Prospect Ave., Newark, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas R Ortiz attended and graduated from Rutgers New Jersey Medical School in 1981
  NPI Data:
  • NPI Number: 1750312450
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 03/03/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1355376674
  • Enrollment ID: I20080528000129

Medical Identifiers

Medical identifiers for Thomas R Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750312450NPI-NPPES
033691BXBOtherNJMEDICARE GROUP SUFFIX
1259202MedicaidNJ
527732OtherNJMEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MA 40692 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Barnabas Health Home Care And HospiceWest orange, NJHome health agency
Patient CareWest orange, NJHome health agency
Vitas Healthcare Corporation AtlanticLivingston, NJHospice
Saint Michael's Medical CenterNewark, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vmd Primary Providers Of New Jersey Llc660828467422

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas R Ortiz allows following entities to bill medicare on his behalf.
Entity NameForest Hill Family Health Associates P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134292360
PECOS PAC ID: 3971572660
Enrollment ID: O20080613000017
Entity NameVmd Primary Providers Of New Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952992455
PECOS PAC ID: 6608284674
Enrollment ID: O20210413001435

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas R Ortiz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas R Ortiz, MD
465 Mt. Prospect Ave.,
Newark, NJ 07104

Ph: (973) 483-3640
Thomas R Ortiz, MD
465 Mt. Prospect Ave.,
Newark, NJ 07104

Ph: (973) 483-3640

Reviews and Comments


Family Medicine Doctors in Newark, NJ

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Padam K Neopane, MD
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Dr. Hortensia Kelly, D.O
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Noa'a Shimoni, MD
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Practice Location: 90 Bergen St, Suite 1750, Newark, NJ 07103
Phone: 973-972-8219    Fax: 973-972-0018

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.