Physician Compare National (NPI:1629173679)

HEALTHCARE PROVIDER: BRETT OPELL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1629173679
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315014156
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080923000147
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OPELL
	Individual professional last name
Provider First Name	BRETT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NEW JERSEY UROLOGY LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1456410638
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	145
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	375 MOUNT PLEASANT AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 250
	Group Practice or individual's line 2 address
City	WEST ORANGE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070522751
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9733231320
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310108
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JFK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y