NPIMap

Organization Active NPI

Eye Associates of North Jersey PA

  • Ophthalmology Physician
  • Dover, NJ
National Provider Identifier
1003848847
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE ASSOCIATES OF NORTH JERSEY PA
Practice address
600 Mount Pleasant Avenue
Dover, NJ 07801-1629
Phone
(973) 366-1232
Fax
(973) 366-2960
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ian M Schorr, MD
Title
President
Phone
(973) 366-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

600 Mount Pleasant Avenue
Dover, NJ 07801-1629

Mailing address

600 Mount Pleasant Avenue
Dover, NJ 07801-1629
Phone (973) 366-1232

Other identifiers 1

IdentifierTypeStateIssuer
088476OtherNJPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801000172 NJ Part B Supplier - Clinic/Group Practice 8325076375 Receives reassigned benefits from 7 practitioners
Practice locations: Dover, NJ

National Provider Directory

National Provider Directory

Locations

600 Mount Pleasant Ave
Ste L
Dover, NJ 07801
Phone (973) 366-0436

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1003848847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MOUNT PLEASANT AVENUE",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011629",
            "telephone_number": "973-366-1232",
            "fax_number": "973-366-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOUNT PLEASANT AVENUE",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011629",
            "telephone_number": "973-366-1232",
            "fax_number": "973-366-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF NORTH JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "SCHORR",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-366-1232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "088476",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.