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DR. CORNEL MIRCEA MD
NPI 1316055973
Internal Medicine in Glen Ridge, NJ

Active since August 25, 2006PECOS Enrolled
84.01/100
CMS Quality Rating
123 HIGHLAND AVE, SUITE 104, GLEN RIDGE, NJ 07028(973) 689-5522 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cornel Mircea Md NPPES

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

DR. CORNEL MIRCEA MD (NPI 1316055973) is an individual internal medicine provider in Glen Ridge, New Jersey, licensed in New Jersey (25MA06511800) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316055973
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CORNEL MIRCEACredential: MD
Location Address123 HIGHLAND AVE, SUITE 104Glen Ridge, NJ 07028-1527
Mailing Address123 Highland Ave, Suite 104Glen Ridge, NJ 07028-1527 · (973) 680-5522
Phone(973) 689-5522
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateJanuary 14, 2020
✔ NPI 1316055973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA06511800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSpecialistTaxonomy 174400000X · License MA065118 (NJ)
123 HIGHLAND AVE, Glen Ridge, NJ 07028
Open in Google Maps ↗

Other Identifiers 2

Medicaid7458100NJ
Other223617798NJ · Ein

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cornel Mircea Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07028 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%621 patients3/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
27%500 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
47%500 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
62%500 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%500 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

JOHN SALVATORE VOLTARELLI MA
Counselor (Professional)
123 HIGHLAND AVE, SUITE 23
GLEN RIDGE, NJ 07028
Essex County (855) 202-7939
DUSAN KNEZEVIC MD
Internal Medicine (Cardiovascular Disease)
123 HIGHLAND AVE, SUITE 302
GLEN RIDGE, NJ 07028
Essex County (973) 748-9555
DENNIS A TOBIA MD PA
Internal Medicine (Gastroenterology)
123 HIGHLAND AVE
GLEN RIDGE, NJ 07028
Essex County (973) 744-2939
PANDE V. JOSIFOSKI, M.D., L.L.C.
Clinic/Center (Primary Care)
123 HIGHLAND AVE, SUITE 203
GLEN RIDGE, NJ 07028
Essex County (973) 748-0678
BENJAMIN HERBERT SAFIRSTEIN M.D.
Internal Medicine (Pulmonary Disease)
123 HIGHLAND AVE, SUITE 101
GLEN RIDGE, NJ 07028
Essex County (973) 744-9125
FRANCIS E WANAT MD
Internal Medicine (Cardiovascular Disease)
123 HIGHLAND AVE, SUITE 302
GLEN RIDGE, NJ 07028
Essex County (973) 748-9555
MICHAEL LOUIS MOLINARO MD
Internal Medicine
123 HIGHLAND AVE, SUITE 201
GLEN RIDGE, NJ 07028
Essex County (973) 748-9246
CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
123 HIGHLAND AVE, SUITE G2
GLEN RIDGE, NJ 07028
Essex County (973) 743-9900

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 Cornel Mircea's NPI number?

The NPI number for Cornel Mircea is 1316055973. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Cornel Mircea located?

Cornel Mircea practices at 123 Highland Ave Suite 104, Glen Ridge, NJ 07028. The listed phone number is (973) 689-5522.

What is Cornel Mircea's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cornel Mircea enrolled in Medicare?

Yes. Cornel Mircea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cornel Mircea was last updated on January 14, 2020. 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.