MAYUMI A. MORI (M.D.) – Ophthalmology Physician, NPI 1003819905
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
605 OPHTHALMOLOGY in NJ
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Provider Addresses for MAYUMI A. MORI (M.D.)
15th Street, Fort Lee, Bergen County, New Jersey, 07024, United States of America
APT 11G
FORT LEE, NJ 070241958
Phone: (973) 326-8895
Fax: (973) 326-6805
Type: Mailing
Ridgedale Avenue, Cedar Knolls, Hanover Township, Morris County, New Jersey, 07927, United States of America
CEDAR KNOLLS, NJ 079272109
Phone: (973) 326-8895
Fax: (973) 326-6805
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $110.
Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.
Last reported payment date: 2023-03-30 • Largest payer in this snapshot: Santen Inc. ($110).
Total Amount
$110
General + Research + Ownership
Payments
1
Total payment records
General Amount
$110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Santen Inc. | $110 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050901000177 | I | Ophthalmology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| O T O L A R Y N G O L O G Y | NY | |
| - | NJ | |
| E N D O C R I N O L O G Y | NJ | |
| Internal Medicine | NJ | |
| Physician Assistant | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Family Practice | NJ | |
| Internal Medicine | NJ | |
| O P H T H A L M O L O G Y | NJ |
Reviews
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