Individual provider Active NPI

Lisa Athwal

  • Ophthalmology Physician
  • Toms River, NJ
National Provider Identifier
1043576630
Registry record updated Oct 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA09892100 Issued in NJ
Practice address
14 Mule Rd
Toms River, NJ 08755-5060
Phone
(732) 286-0900
NPI assigned
Apr 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2016

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 25MA09892100 NJ Primary

Addresses

Primary practice location

14 Mule Rd
Toms River, NJ 08755-5060

Mailing address

14 Mule Rd
Toms River, NJ 08755-5060

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
I20160914000386 NJ Practitioner - Ophthalmology 2769778984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Eye Associates PAGroup PAC ID 9133195126, 17 clinicians

Practice addresses (Care Compare)

530 Lakehurst Rd
Toms River, NJ 08755-8063
Phone (732) 341-4733

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
86.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09892100NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Eye Associates PA Ophthalmology CurrentSince Jan 22, 2021 Accepting new patients
Shore Eye Associates PA Ophthalmology CurrentSince Jan 22, 2021 Accepting new patients
Ocean County Eye Associates LLC Past Accepting new patients
Shore Eye Associates PA PastSince Jul 7, 2024 Accepting new patients

Locations

14 Mule Rd
Ste 1
Toms River, NJ 08755
Phone (732) 286-0900

530 Lakehurst Rd
Ste 206
Toms River, NJ 08755
Phone (732) 341-4733

14 Mule Rd
Toms River, NJ 08755
Phone (732) 286-0900

18 Mule Rd
Toms River, NJ 08755
Phone (201) 703-2900

Interoperability endpoints

  • Direct secure messaging: lisa.athwal@donaldamacdonald.chartmakerdirect.com

Organizations & group practices 4

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": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477180800000",
    "number": "1043576630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MULE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MULE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555060",
            "telephone_number": "732-286-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHWAL",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-08",
        "last_updated": "2016-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09892100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.