Individual provider Active NPI

David Joel Medford, MD

  • Ophthalmology Physician
  • Morristown, NJ
National Provider Identifier
1023079522
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA04685200 Issued in NJ
Practice address
95 Madison Ave
Suite 400
Morristown, NJ 07960
Phone
(973) 984-5005
Fax
(973) 984-5554
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25MA04685200 NJ Primary

Addresses

Primary practice location

95 Madison Ave
Suite 400
Morristown, NJ 07960

Mailing address

95 Madison Ave
Suite 400
Morristown, NJ 07960
Phone (973) 984-5005

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
I20110621000675 NJ Practitioner - Ophthalmology 8921090911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Eye Surgeons Northern New Jersey P aGroup PAC ID 7315939394, 5 clinicians

Practice addresses (Care Compare)

95 Madison Ave
Suite 400
Morristown, NJ 07960-7336
Phone (973) 984-5005

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04685200NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Eye Surgeons Northern New Jersey P a Ophthalmology CurrentSince Jan 1, 1989 Accepting new patients
Affiliated Eye Surgeons Northern New Jersey P a Ophthalmology CurrentSince Jan 1, 1989 Accepting new patients
Affiliated Eye Surgeons Northern New Jersey P a Ophthalmology Past Accepting new patients

Locations

95 Madison Ave
#J
Morristown, NJ 07960
Phone (973) 736-3322

95 Madison Ave
#18001
Morristown, NJ 07960

95 Madison Ave
Ste 400
Morristown, NJ 07960
Phone (973) 984-5005

405 Northfield Ave
Ste 206
West Orange, NJ 07052
Phone (973) 736-3322

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.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023079522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE 400",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-984-5005",
            "fax_number": "973-984-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE 400",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-984-5005",
            "fax_number": "973-984-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDFORD",
        "first_name": "DAVID",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04685200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.