DOUGLAS J OPLER MD
NPI 1760717649
Psychiatry & Neurology - Psychiatry in Hackensack, NJ
About Douglas J Opler Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS J OPLER MD (NPI 1760717649) is an individual psychiatry provider in Hackensack, New Jersey, licensed in New Jersey (25MA09369000) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains a secondary practice location in Ramsey.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Douglas J Opler Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Douglas Opler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NJ 07103
- Reassigned Medicare billing, New Jersey enrollment
- 19 clinicians in this Medicare group
Ramsey, NJ 07446
- Reassigned Medicare billing, New Jersey enrollment
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJThe University Hospital
Acute Care Hospitals · Newark, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HACKENSACK, NJ 07601
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 Douglas Opler's NPI number?
The NPI number for Douglas Opler is 1760717649. It was assigned to this individual provider in the NPPES registry on October 9, 2009.
Where is Douglas Opler located?
Douglas Opler practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-4450.
What is Douglas Opler's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Douglas Opler enrolled in Medicare?
Yes. Douglas Opler 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 organizations bill Medicare for Douglas Opler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Opler reassigns Medicare benefits to 3 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Douglas J Opler MD PC (Ramsey, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Douglas Opler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Opler accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Douglas Opler 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 Douglas Opler affiliated with any hospitals?
According to CMS data, Douglas Opler is affiliated with Hackensack University Medical Center and The University Hospital.
When was this NPI record last updated?
The NPPES record for Douglas Opler was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Douglas J Opler, MD · NPI 1760717649
Psychiatry physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since October 9, 2009.
## Identity
- **NPI:** 1760717649 (Entity type: Individual)
- **Enumerated:** October 9, 2009
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 25MA09369000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, Hackensack, NJ 07601-1915
- **Phone:** (551) 996-4450 · **Fax:** (551) 996-5729
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Physician Associates Of New Jersey Inc (NPI 1598775199, Newark, NJ); Douglas J Opler MD PC (NPI 1114413721, Ramsey, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2008
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760717649) · Data from the CMS NPPES public registry.