Individual provider Active NPI

Haris Irfan Amin, MD

  • Retina Specialist (Ophthalmology) Physician
  • Toms River, NJ
National Provider Identifier
1013910942
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
25MA07562000 Issued in NJ
Practice address
780 Route 37 W
Ste 200
Toms River, NJ 08755-5059
Phone
(732) 797-1855
Fax
(732) 797-1856
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 25MA07562000 NJ Primary

Addresses

Primary practice location

780 Route 37 W
Ste 200
Toms River, NJ 08755-5059

Mailing address

780 Route 37 W
Ste 200
Toms River, NJ 08755-5059
Phone (732) 797-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310001031 NJ Practitioner - Ophthalmology 7214825173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean County Retina PCGroup PAC ID 3274421565, 3 clinicians

Practice addresses (Care Compare)

780 Hwy 37 W
Toms River, NJ 08755-5059
Phone (732) 797-1855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as individual
Quality
100
Promoting interoperability
83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07562000NJMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean County Retina PC CurrentSince Dec 12, 2002 Accepting new patients
Georgia Retina, PC Retina Specialist PastSince Oct 1, 1995 Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

4511 Route 9 N
Howell, NJ 07731
Phone (732) 994-7072

600 Mule Rd
Ste 10
Toms River, NJ 08757
Phone (732) 557-5555

780 Route 37 W
Ste 200
Toms River, NJ 08755
Phone (732) 797-1855

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1013910942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ROUTE 37 W",
            "address_2": "STE 200",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555059",
            "telephone_number": "732-797-1855",
            "fax_number": "732-797-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ROUTE 37 W",
            "address_2": "STE 200",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555059",
            "telephone_number": "732-797-1855",
            "fax_number": "732-797-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "HARIS",
        "middle_name": "IRFAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA07562000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.