Organization Active NPI

Mitchel Ashkanazy

  • Ophthalmology Physician
  • Kinnelon, NJ
National Provider Identifier
1053070656
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MITCHEL ASHKANAZY
Practice address
170 Kinnelon Rd RM 27
Kinnelon, NJ 07405-2351
Phone
(973) 838-1211
Fax
(973) 838-1251
NPI assigned
Dec 10, 2021
Organization subpart
Yes
Parent organization
MITCHEL ASHKANAZYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Mitchel Ashkanazy, MD
Title
Owner
Phone
(973) 838-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

170 Kinnelon Rd RM 27
Kinnelon, NJ 07405-2351

Mailing address

170 Kinnelon Rd RM 27
Kinnelon, NJ 07405-2351
Phone (973) 838-1211

Other identifiers 1

IdentifierTypeStateIssuer
25MA04065200OtherNJNJ DIVISION OF CONSUMER AFFAIRS - MEDICAL LICENSE

Other names 2

  • Mitchel Ashkanazy Doing business as
  • Mitchel Ashkanazy MD Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mashkanazy@optonline.net

National Provider Directory

National Provider Directory
Tax ID family
Mitchel Ashkanazy2 organizations share this tax ID, including this one
Part of
Mitchel Ashkanazy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

170 Kinnelon Rd
Rm 27
Kinnelon, NJ 07405
Phone (973) 838-1211

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1053070656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 KINNELON RD RM 27",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052351",
            "telephone_number": "973-838-1211",
            "fax_number": "973-838-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KINNELON RD RM 27",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052351",
            "telephone_number": "973-838-1211",
            "fax_number": "973-838-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHEL ASHKANAZY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MITCHEL ASHKANAZY",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "ASHKANAZY",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-838-1211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ DIVISION OF CONSUMER AFFAIRS - MEDICAL LICENSE",
            "identifier": "25MA04065200",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mashkanazy@optonline.net",
            "affiliation": "N",
            "address_1": "170 Kinnelon Rd Rm 27",
            "city": "Kinnelon",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074052351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mitchel Ashkanazy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mitchel Ashkanazy MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.