Organization Active NPI

Specialty MD Inc

Doing business as Health Check Eye Center

  • Ophthalmology Physician
  • South Plainfield, NJ
National Provider Identifier
1013092071
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SPECIALTY MD INC
Doing business as
Health Check Eye Center
Practice address
906 Oak Tree Ave
Suite J
South Plainfield, NJ 07080-5127
Phone
(908) 222-3506
Fax
(908) 222-8770
NPI assigned
Oct 26, 2006
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Ms. Zenith Ylanan, RN
Title
Director
Phone
(908) 222-3506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

906 Oak Tree Ave
Suite J
South Plainfield, NJ 07080-5127

Mailing address

1308 Centennial Ave
Suite 350
Piscataway, NJ 08854
Phone (908) 222-3506

Other identifiers 3

IdentifierTypeStateIssuer
1013092071OtherNJNPI
0083658MedicaidNJ
0007277772OtherNJPIN

Other names 1

  • Health Check Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051207000623 NJ Part B Supplier - Clinic/Group Practice 6709805351 Receives reassigned benefits from 5 practitioners
Practice locations: South Plainfield, NJ; Union City, NJ; Newark, NJ; Irvington, NJ

National Provider Directory

National Provider Directory

Locations

1308 Centennial Ave
Ste 350
Piscataway, NJ 08854

906 Oak Tree Ave
Ste J
South Plainfield, NJ 07080
Phone (908) 222-8700

4914 Kennedy Blvd W
Ste 201
West New York, NJ 07093
Phone (201) 863-0090

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1013092071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CENTENNIAL AVE",
            "address_2": "SUITE 350",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "08854",
            "telephone_number": "908-222-3506",
            "fax_number": "908-222-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 OAK TREE AVE",
            "address_2": "SUITE J",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805127",
            "telephone_number": "908-222-3506",
            "fax_number": "908-222-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "YLANAN",
        "authorized_official_first_name": "ZENITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-222-3506",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013092071",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083658",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "0007277772",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Check Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.