DR. OFER AVI WERTHAIM M.D.
NPI 1548234941
Internal Medicine in East Brunswick, NJ

Q: What is Ofer Werthaim's NPI number?

The NPI number for Ofer Werthaim is 1548234941. It was assigned to this individual provider in the NPPES registry on February 14, 2006. The provider is also known as Dr. Ofer Avi Werthaim M.D..

Q: What is Ofer Werthaim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ofer Werthaim was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment

94.95/100

CMS Quality Rating

579 CRANBURY RD, SUITE A, EAST BRUNSWICK, NJ 08816(732) 238-6800(732) 238-9696 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Ofer Avi Werthaim M.d. NPPES

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

DR. OFER AVI WERTHAIM M.D. (NPI 1548234941) is an individual internal medicine provider in East Brunswick, New Jersey, licensed in New Jersey (MA54702) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1548234941

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. OFER AVI WERTHAIMCredential: M.D.

Location Address579 CRANBURY RD, SUITE AEast Brunswick, NJ 08816-5405

Mailing Address579 Cranbury Rd, Suite AEast Brunswick, NJ 08816-5405 · (732) 238-6800 · Fax (732) 238-9696

Phone(732) 238-6800

Fax(732) 238-9696

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateFebruary 14, 2006

Last NPPES UpdateJanuary 16, 2014

✔ NPI 1548234941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · MA54702

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.

579 CRANBURY RD, East Brunswick, NJ 08816

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Other Names 1

Other Name (5)Dr. Ofer Avi Werthaim M.d.

Other Identifiers 2

Medicare UPINE69478NJ

Medicare PIN647045X2LNJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ofer Avi Werthaim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123929049

PECOS Enrollment IDI20040115000090

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 Reassignment

Medicare enrollment records show Ofer Werthaim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Primary Care PC

18 mi

Family Medicine

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
689 clinicians in this Medicare group

NPI 1336203538 (732) 807-0800

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 11

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.

265 services190 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

175 services175 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

167 services120 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

115 services115 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

115 services115 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

85 services85 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

71 services71 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

31 services30 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

27 services27 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

22 services22 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.

18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 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.

94.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers43 claims78 services$5.66 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers14 claims14 services$0.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

RACHEL N LAKE MSOTR

Occupational Therapist

579 CRANBURY RD
EAST BRUNSWICK, NJ 08816

Middlesex County (732) 313-5458

DOCTOR'S CARE CENTER, P.A.

Clinic/Center (Urgent Care)

579 CRANBURY RD, SUITE A
EAST BRUNSWICK, NJ 08816

Middlesex County (732) 238-6800

DR. PAYAM TORREI M.D

Radiology (Diagnostic Radiology)

579 CRANBURY RD
EAST BRUNSWICK, NJ 08816

Middlesex County (732) 390-0040

TU REHAB LLC

Clinic/Center (Rehabilitation)

579 CRANBURY RD
EAST BRUNSWICK, NJ 08816

Middlesex County (732) 432-0733

THERAPEUTICS UNLIMITED HEALTH AND WELLNESS, LLC

Acupuncturist

579 CRANBURY RD, SUITE D
EAST BRUNSWICK, NJ 08816

Middlesex County (732) 432-0733

THERAPEUTICS UNLIMITED INC

Clinic/Center (Rehabilitation)

579 CRANBURY RD, STE C
EAST BRUNSWICK, NJ 08816

Middlesex County (732) 432-0733

LYNNE FRANCES LEVY MD

Radiology (Diagnostic Radiology)

579 CRANBURY RD, UNIVERSITY RADIOLOGY GROUP PC
EAST BRUNSWICK, NJ 08816

Middlesex County (732) 390-0030

UNITED FOOT AND ANKLE, INC

Podiatrist (Foot & Ankle Surgery)

579 CRANBURY RD, SUITE G
EAST BRUNSWICK, NJ 08816

Middlesex County (732) 979-2035

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 Ofer Werthaim's NPI number?

The NPI number for Ofer Werthaim is 1548234941. It was assigned to this individual provider in the NPPES registry on February 14, 2006. The provider is also known as Dr. Ofer Avi Werthaim M.D..

Where is Ofer Werthaim located?

Ofer Werthaim practices at 579 Cranbury Rd Suite A, East Brunswick, NJ 08816. The listed phone number is (732) 238-6800.

What is Ofer Werthaim's specialty?

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

Is Ofer Werthaim enrolled in Medicare?

Yes. Ofer Werthaim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ofer Werthaim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ofer Werthaim reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The 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 Ofer Werthaim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ofer Werthaim accept?

Health plans from Oscar Health list Ofer Werthaim 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 Ofer Werthaim affiliated with any hospitals?

According to CMS data, Ofer Werthaim is affiliated with Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Ofer Werthaim was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.