Individual provider Active NPI

Sierra Jin, M.D.

  • Ophthalmology Physician
  • Clifton, NJ
National Provider Identifier
1033640503
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA1149300 Issued in NJ
Practice address
1016 Main Ave
Clifton, NJ 07011-2327
Phone
(973) 546-5700
NPI assigned
Mar 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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 25MA1149300 NJ Primary

Addresses

Primary practice location

1016 Main Ave
Clifton, NJ 07011-2327

Mailing address

1016 Main Ave
Clifton, NJ 07011-2327
Phone (973) 546-5700

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
I20220819002411 NJ Practitioner - Ophthalmology 7810266582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Eye and Ear, LLCGroup PAC ID 6002174737, 28 clinicians

Practice addresses (Care Compare)

1016 Main Ave
Clifton, NJ 07011-2327
Phone (973) 546-5700

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as group
Quality
83.97
Promoting interoperability
100
Improvement activities
40
Cost
82.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA1149300NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Eye and Ear LLC Ophthalmology CurrentSince May 31, 2022 Accepting new patients
Clifton Eye Care LLC Ophthalmology Past Accepting new patients

Locations

1016 Main Ave
Unit 1
Clifton, NJ 07011
Phone (973) 546-5700

1016 Main Ave
Clifton, NJ 07011
Phone (973) 546-5700

23 W Palisade Ave
Englewood, NJ 07631
Phone (201) 408-4441

Interoperability endpoints

  • Direct secure messaging: sjin845987@nychhc.direct-ci.com
  • Direct secure messaging: drjin@njeyeandear.direct.eyemdemr.com

Organizations & group practices 2

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": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1033640503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112327",
            "telephone_number": "973-546-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112327",
            "telephone_number": "973-546-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "SIERRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA1149300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.