Individual provider Active NPI

Anita I Miedziak, M.D.

  • Ophthalmology Physician
  • Princeton, NJ
National Provider Identifier
1013920867
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06941700 Issued in NJ
Practice address
419 North Harrison Street
Suite 104
Princeton, NJ 08540
Phone
(609) 921-9437
Fax
(609) 688-9941
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA06941700 NJ Primary

Addresses

Primary practice location

419 North Harrison Street
Suite 104
Princeton, NJ 08540

Mailing address

419 North Harrison Street
Suite104
Princeton, NJ 08540
Phone (609) 921-9437

Other identifiers 1

IdentifierTypeStateIssuer
8561800MedicaidNJ

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
I20100609000510 NJ Practitioner - Ophthalmology 7315961927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Pennsylvania, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Eye Group, PAGroup PAC ID 8426027731, 14 clinicians

Practice addresses (Care Compare)

419 N Harrison St
Suite 104
Princeton, NJ 08540-3521
Phone (609) 921-9437

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
70.77
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06941700NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Eye Group, PA Ophthalmology CurrentSince Jul 26, 1999 Accepting new patients

Locations

298 Applegarth Rd
Ste I
Monroe Twp, NJ 08831
Phone (609) 655-7776

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

419 N Harrison St
Ste 104
Princeton, NJ 08540
Phone (609) 921-9437

950 Hamilton St
Somerset, NJ 08873
Phone (732) 214-9128

900 Easton Ave
Ste 50
Somerset, NJ 08873
Phone (732) 565-9550

Interoperability endpoints

  • Direct secure messaging: amiedziak@peg1970.srs-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1013920867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 NORTH HARRISON STREET",
            "address_2": "SUITE104",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-921-9437",
            "fax_number": "609-688-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 NORTH HARRISON STREET",
            "address_2": "SUITE 104",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-921-9437",
            "fax_number": "609-688-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEDZIAK",
        "first_name": "ANITA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06941700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8561800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.