ALESSANDRA BERTOLUCCI MD
NPI 1174528996
Ophthalmology in Clifton, NJ

Active since June 17, 2005PECOS Enrolled
1033 CLIFTON AVE STE 107, CLIFTON, NJ 07013(973) 773-9882(973) 773-9883 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2020, Feb 12, 2020 (2 updates tracked since 2020).

About Alessandra Bertolucci Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALESSANDRA BERTOLUCCI MD (NPI 1174528996) is an individual ophthalmology provider in Clifton, New Jersey, licensed in New Jersey (25MA07279200) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1174528996
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameALESSANDRA BERTOLUCCICredential: MD
Location Address1033 CLIFTON AVE STE 107Clifton, NJ 07013-3517
Mailing Address1033 Clifton Ave Ste 107Clifton, NJ 07013-3517 · (973) 472-6405 · Fax (973) 472-6406
Fax(973) 773-9883
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJune 17, 2005
Last NPPES UpdateNovember 20, 20202 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
✔ NPI 1174528996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · 25MA07279200
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1033 CLIFTON AVE STE 107, Clifton, NJ 07013

Other Identifiers 1

Medicaid9068805NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alessandra Bertolucci Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123002631
PECOS Enrollment IDI20040614001088, I20110722000105
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Alessandra Bertolucci reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
1033 CLIFTON AVE STE 107
Clifton, NJ 07013
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
Ophthalmology
5 E 98TH ST FL 7, BOX 1183
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 155 clinicians in this Medicare group
Ophthalmology
2 SOUTH AVE E, SUITE 1
Cranford, NJ 07016
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,506 services790 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
934 services643 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
845 services646 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
824 services304 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
518 services71 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
474 services113 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Ny Eye And Ear Infirmary Of Mount Sinai

Acute Care Hospitals · New York, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330100
Location230 Second AveNew York, NY 10003 · New York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1033 CLIFTON AVE STE 107
CLIFTON, NJ 07013
Ophthalmology
1033 CLIFTON AVE STE 107
CLIFTON, NJ 07013
Optometrist
1033 CLIFTON AVE STE 107
CLIFTON, NJ 07013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alessandra Bertolucci's NPI number?

The NPI number for Alessandra Bertolucci is 1174528996. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Alessandra Bertolucci located?

Alessandra Bertolucci practices at 1033 Clifton Ave Ste 107, Clifton, NJ 07013. The listed phone number is (973) 773-9882.

What is Alessandra Bertolucci's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alessandra Bertolucci enrolled in Medicare?

Yes. Alessandra Bertolucci is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alessandra Bertolucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alessandra Bertolucci reassigns Medicare benefits to 3 organizations: Alessandra Bertolucci MD LLC (Clifton, NJ), Icahn School Of Medicine At Mount Sinai (New York, NY) and Cranford Ophthalmology, P.A. (Cranford, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alessandra Bertolucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alessandra Bertolucci accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Alessandra Bertolucci as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alessandra Bertolucci affiliated with any hospitals?

According to CMS data, Alessandra Bertolucci is affiliated with Clara Maass Medical Center and Ny Eye And Ear Infirmary Of Mount Sinai.

When was this NPI record last updated?

The NPPES record for Alessandra Bertolucci was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.