Ken Edward Mishler, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA03246200 Issued in NJ

Practice address

968 Hamburg Tpke
Wayne, NJ 07470-3225

Phone

(973) 696-0300

Fax

(973) 696-0465

NPI assigned

Mar 20, 2006

Last updated

Feb 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kmishler@eaw.direct.iopracticeware.com

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

• Eye Associates of Wayne, P.a.

  • Ophthalmology Physician
  • Wayne, NJ
  • NPI 1699858670
  Authorized official Same address or phone

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1043279979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703225",
            "telephone_number": "973-696-0300",
            "fax_number": "973-696-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703225",
            "telephone_number": "973-696-0300",
            "fax_number": "973-696-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHLER",
        "first_name": "KEN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03246200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1206800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Intentions
• Ashley Minetti
• Angela Minhas, DC
• Marie Minichiello, LCSW
• Tatyana Mishin, M.S.
• Kimberly Mittman
• MMM Health Services, Inc. (Mental Wellness Center MA)
• Mobile Diagnostic Services Inc
• Mobile Diagnostic Services Inc
• Modern Orthopaedics of New Jersey

• Ophthalmology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.