✓ Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) (207W00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

BRUCE MICHAEL BENEROFE, M.D. (NPI #1356559579)

Ophthalmology • RANDOLPH, NJ • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1356559579
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207W00000X (CMS 18)
Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)
Box 32 Service Location & ZIP+4
447 STATE ROUTE 10, SUITE 4, RANDOLPH, NJ, 07869-2132
✓ 9-Digit EDI 837 ZIP+4 (07869-2132)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1356559579 (BRUCE MICHAEL BENEROFE, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1356559579 (NPI-1 Individual Practitioner)
Provider / Legal NameBRUCE MICHAEL BENEROFE, M.D.
Plain-English SpecialtyBoard-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)
NUCC Code: 207W00000X (Ophthalmology)
Certifying / Licensing BodyAmerican Board of Ophthalmology (ABO)
Practice Location Address447 STATE ROUTE 10, SUITE 4, RANDOLPH, NJ, 07869-2132
Practice Telephone / FaxTel: (973) 361-5440
Administrative Mailing Address447 STATE ROUTE 10, RANDOLPH, NJ, 07869-2132
Enumeration & Last SyncEnumerated: 2007-05-20 | CMS Record Updated: 2010-07-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

447 STATE ROUTE 10, SUITE 4, RANDOLPH, NJ, 07869-2132

🗺️ Open in Google Maps 🏥 More Providers in RANDOLPH

Plain-English Taxonomy & CMS Crosswalk (207W00000X)

What Does Taxonomy Code 207W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207W00000X translates to:
"Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 18 (Physician/Ophthalmology)
Certifying / Accrediting Authority: American Board of Ophthalmology (ABO)
Clinical Scope: Cloudy vision from cataracts, annual diabetic eye exams, glaucoma pressure checks, sudden flashes/floaters, or macular degeneration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRUCE MICHAEL BENEROFE, M.D.)

Typical CPT / Diagnostic Procedures:
  • Phacoemulsification Cataract Extraction with Intraocular Lens (IOL) Implantation (CPT 66984)
  • Optical Coherence Tomography (OCT) of Retina & Optic Nerve (CPT 92134)
  • Intravitreal Anti-VEGF Injections for Macular Degeneration & Diabetic Retinopathy
  • Comprehensive Slit-Lamp Biomicroscopy & Tonometry Glaucoma Screening
Common Therapeutic Classes:
  • Prostaglandin Analog Eye Drops (Latanoprost, Bimatoprost) & Timolol (Glaucoma)
  • Moxifloxacin & Ciprofloxacin Ophthalmic Solutions
  • Prednisolone Acetate & Ketorolac Post-Cataract Ophthalmic Drops

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207W00000X — Ophthalmology
Plain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)
State: NJ | License: MA43617 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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