Specialty MD Inc
Organization Active NPI Ophthalmology Physician · South Plainfield, NJ
NPI 1013092071 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1013092071
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- SPECIALTY MD INC
- 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
- Organization subpart
- No
Authorized official
- Name
- Ms. Zenith Ylanan, RN
- Title
- Director
- Phone
- (908) 222-3506
Practitioners 23
-
Alejandro Bevacqua, MD PHYSICIAN
-
Thomas Kincade, M.D.
-
Dean R Cummins, MD PHD
-
Ilan Cohen, MD
-
Preya Balroop, OD
-
Ramanpreet Kang, OD
-
Lourdes E. Lherisson, O.D
-
Deepali Patel, OD
-
Heta Patel, OD
-
Sukrana Uddin, OD
-
Elise Hoi, O.D.
-
Sundeep Kaur, O.D.
-
Melissa Manzo, O.D.
-
Jayashree Ramakrishnan, D.D.S.
-
Richard L Stein, O.D.
-
Robert V Vallar, MD
-
Ajay Kumar Agarwala, M.D.
-
Rupal Patel Panghaal, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
1308 Centennial Ave
Ste 350
Piscataway, NJ 08854
4914 Kennedy Blvd W
Ste 201
West New York, NJ 07093
Phone (201) 863-0090
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007277772 | Other | NJ | PIN |
| 0083658 | Medicaid | NJ | |
| 1013092071 | Other | NJ | NPI |
Other names
- Health Check Eye Center
Other providers in South Plainfield, NJ
- South Plainfield Pharmacy LLC
- South Plainfield Primary Care
- South Plainfield Radiology Corp
- South Plainfield Rescue Squad Inc
- Sparkle Medical PA
- Spinal Couture, LLC
- Gail Story
- Theresa Stys
- Sushma Agarwal MD PA
- SV Bhatt LLC.
All providers in South Plainfield, NJ · Ophthalmology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.