ERIC BENTOLILA, M.D. PA
NPI 1245357276
Specialist in Ridgewood, NJ

Active since March 23, 2007CLIA 31D2235604 · Waiver
615 FRANKLIN TURNPIKE, RIDGEWOOD, NJ 07450(201) 447-1700(201) 447-9386 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Bentolila, M.d. Pa NPPES

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

ERIC BENTOLILA, M.D. PA (NPI 1245357276) is a healthcare organization registered as a specialist in Ridgewood, New Jersey and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 9, 2027 and lists Clarissa Vega, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1245357276
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameERIC BENTOLILA, M.D. PA
Location Address615 FRANKLIN TURNPIKERidgewood, NJ 07450-0745
Mailing Address150 Franklin AveRidgewood, NJ 07450-3206 · (201) 447-1700 · Fax (201) 447-9386
Fax(201) 447-9386
Organization SubpartNo
Authorized OfficialClarissa VegaOffice Manager · (973) 874-8459
Enumeration DateMarch 23, 2007
Last NPPES UpdateNovember 4, 2019
NPI 1245357276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · 25MA07057600
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
615 FRANKLIN TURNPIKE, Ridgewood, NJ 07450

Other Identifiers 1

Other2371713000NJ · Amerihealth Group#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2235604

Eric Bentolila MD PA · Ridgewood, NJ
Active · expires Sep 9, 2027
CLIA Number31D2235604
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorEric Bentolila
Laboratory Phone(201) 447-1700
Laboratory LocationEric Bentolila MD PA615 Franklyn Turnpike, Ridgewood, NJ 07450
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Specialist
615 FRANKLIN TURNPIKE
RIDGEWOOD, NJ 07450

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 Eric Bentolila, M.D. PA's NPI number?

The NPI number for Eric Bentolila, M.D. PA is 1245357276. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Eric Bentolila, M.D. PA located?

Eric Bentolila, M.D. PA is located at 615 Franklin Turnpike, Ridgewood, NJ 07450. The listed phone number is (201) 447-1700.

What is Eric Bentolila, M.D. PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Eric Bentolila, M.D. PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2235604) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eric Bentolila, M.D. PA accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Eric Bentolila, M.D. PA 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.

When was this NPI record last updated?

The NPPES record for Eric Bentolila, M.D. PA was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.