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ROSEMARIE ARENA MD
NPI 1982990479
Internal Medicine - Gastroenterology in Glen Ridge, NJ

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
311 BAY AVE, GLEN RIDGE, NJ 07028(973) 748-9166(973) 748-1373 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2020, Nov 6, 2020 (2 updates tracked since 2020).

About Rosemarie Arena Md NPPES

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

ROSEMARIE ARENA MD (NPI 1982990479) is an individual gastroenterology provider in Glen Ridge, New Jersey, licensed in New Jersey (25MA10942100) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Drexel University College Of Medicine (2011).

NPPES Registry Identity

NPI1982990479
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameROSEMARIE ARENACredential: MD
Location Address311 BAY AVEGlen Ridge, NJ 07028-1607
Mailing AddressPo Box 419430Boston, MA 02241-9430 · (201) 967-8221 · Fax (201) 483-2242
Phone(973) 748-9166
Fax(973) 748-1373
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2011
Enumeration DateJune 22, 2011
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1982990479 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 · 25MA10942100
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.
311 BAY AVE, Glen Ridge, NJ 07028
Open in Google Maps ↗

Accepted Insurance

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

Rosemarie Arena 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.

PECOS PAC ID648559112
PECOS Enrollment IDI20201106002052
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 Rosemarie Arena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mpv New Jersey MD Services PC
15 mi
General Practice
250 OLD HOOK RD
Westwood, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 189 clinicians in this Medicare group
NPI 1215391271 (201) 781-1387

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 6

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.
187 services114 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.
92 services92 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.
51 services46 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.
35 services35 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.
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.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
72%429 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
73%1,269 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
0%227 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
92%857 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 76% · 347 patients
Patients tobacco: 74% · 347 patients
71%24 patients3/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 227 patients
0%227 patients5/55-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 9

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

KULVIR SINGH NANDRA M.D.
Colon & Rectal Surgery
311 BAY AVE
GLEN RIDGE, NJ 07028
Essex County (973) 798-4777
CRYSTAL TANK M.D.
Internal Medicine
311 BAY AVE, MMG INTERNAL MED
GLEN RIDGE, NJ 07028
Essex County (973) 748-9246
WARVEEN OTHMAN PA-C
Physician Assistant
311 BAY AVE, STE 202
GLEN RIDGE, NJ 07028
Essex County (848) 308-5366
DR. BARRY J WEBER M.D.
Internal Medicine (Pulmonary Disease)
311 BAY AVE, MMG PULMONOLOGY
GLEN RIDGE, NJ 07028
Essex County (973) 746-7474
DR. MATTHEW COONS MD
Plastic Surgery
311 BAY AVE
GLEN RIDGE, NJ 07028
Essex County (908) 810-8550
SANGBAEK CHARLES OH MD
Internal Medicine (Gastroenterology)
311 BAY AVE, MMG GASTROENTEROLOGY
GLEN RIDGE, NJ 07028
Essex County (973) 748-9166
DR. EFTHYMIOS I DANISKAS M.D.
Internal Medicine (Pulmonary Disease)
311 BAY AVE, MMG PULMONOLOGY
GLEN RIDGE, NJ 07028
Essex County (973) 746-7474
JUHAYNA KASSEM DAVIS MD
Internal Medicine (Pulmonary Disease)
311 BAY AVE, MMG PULMONOLOGY
GLEN RIDGE, NJ 07028
Essex County (973) 433-7034

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 Rosemarie Arena's NPI number?

The NPI number for Rosemarie Arena is 1982990479. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Rosemarie Arena located?

Rosemarie Arena practices at 311 Bay Ave, Glen Ridge, NJ 07028. The listed phone number is (973) 748-9166.

What is Rosemarie Arena's specialty?

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

Is Rosemarie Arena enrolled in Medicare?

Yes. Rosemarie Arena 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 Rosemarie Arena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosemarie Arena reassigns Medicare benefits to Mpv New Jersey MD Services PC (Westwood, 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 Rosemarie Arena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosemarie Arena accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Rosemarie Arena 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 Rosemarie Arena affiliated with any hospitals?

According to CMS data, Rosemarie Arena is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Rosemarie Arena was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.