DR. OREN BERNHEIM M.D.
NPI 1639338783
Internal Medicine - Gastroenterology in Wayne, NJ

Q: What is Oren Bernheim's NPI number?

The NPI number for Oren Bernheim is 1639338783. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Q: What is Oren Bernheim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Oren Bernheim was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 04, 2008PECOS EnrolledAccepts Medicare Assignment

92.8/100

CMS Quality Rating

246 HAMBURG TPKE, SUITE 203, WAYNE, NJ 07470(862) 336-9988(862) 336-9987 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2023, Mar 17, 2018, Dec 13, 2017 (3 updates tracked since 2017).

On this page

About Dr. Oren Bernheim M.d. NPPES

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

DR. OREN BERNHEIM M.D. (NPI 1639338783) is an individual gastroenterology provider in Wayne, New Jersey, licensed in New Jersey (25MA09478700) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Chilton Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639338783

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. OREN BERNHEIMCredential: M.D.

Location Address246 HAMBURG TPKE, SUITE 203Wayne, NJ 07470-2156

Mailing Address246 Hamburg Tpke, Suite 203Wayne, NJ 07470-2156 · (862) 336-9988 · Fax (862) 336-9987

Phone(862) 336-9988

Fax(862) 336-9987

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2008

Enumeration DateJune 4, 2008

Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1639338783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · 25MA09478700

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

246 HAMBURG TPKE, Wayne, NJ 07470

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1230 W Parkway Ste 10Pompton Plains, NJ 07444-1060 · Phone (862) 336-9988 · Fax (862) 336-9987

Location 2468 Parish DrWayne, NJ 07470-4671 · Phone (973) 988-2100 · Fax (973) 952-6248

Other Identifiers 1

Medicaid0410799NJ

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Oren Bernheim 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 ID4587889563

PECOS Enrollment IDI20140708000066

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 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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

310 services28 patients

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.

225 services150 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.

193 services134 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

179 services28 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

84 services84 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

74 services74 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

57 services57 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

52 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

42 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310017

Location97 West ParkwayPompton Plains, NJ 07444 · Morris County

Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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.

92.8/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

76.01

Reported Quality Measures

e-Prescribing

95%569 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

97%476 patients4/55-star benchmark: 100%

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.

DR. BARRY SCHAIR M.D.

Internal Medicine (Cardiovascular Disease)

246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 942-1141

GARY J DRILLINGS MD

Specialist

246 HAMBURG TPKE, SUITE-301
WAYNE, NJ 07470

Passaic County (973) 689-6266

DR. SAMEER ANOR AZHAK M.D.

Internal Medicine (Cardiovascular Disease)

246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 942-1141

NORTH JERSEY PHYSICAL THERAPY GROUP LLC

Clinic/Center (Physical Therapy)

246 HAMBURG TPKE, SUITE 303
WAYNE, NJ 07470

Passaic County (973) 720-1110

DR. MICHAEL P BIEHL M.D., F.A.C.C.

Internal Medicine (Clinical Cardiac Electrophysiology)

246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 942-1141

DR. HARJINDER SINGH SAINI MD

Internal Medicine (Nephrology)

246 HAMBURG TPKE, SUITE#207
WAYNE, NJ 07470

Passaic County (973) 653-3366

DR. DONNA MARIE KONLIAN M.D., F.A.C.C.

Internal Medicine (Cardiovascular Disease)

246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 942-1141

DR. CHNADRA B CHANDRAN MD

Internal Medicine (Nephrology)

246 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (973) 653-3366

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 Oren Bernheim's NPI number?

The NPI number for Oren Bernheim is 1639338783. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Oren Bernheim located?

Oren Bernheim practices at 246 Hamburg Tpke Suite 203, Wayne, NJ 07470. The listed phone number is (862) 336-9988.

What is Oren Bernheim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Oren Bernheim enrolled in Medicare?

Yes. Oren Bernheim 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.

What insurance does Oren Bernheim accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Oren Bernheim 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 Oren Bernheim affiliated with any hospitals?

According to CMS data, Oren Bernheim is affiliated with Chilton Medical Center and St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Oren Bernheim was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.