Active NPI
Mitchel Ashkanazy
- Ophthalmology Physician
- Kinnelon, NJ
National Provider Identifier
1053070656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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 ASHKANAZY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA04065200 | Other | NJ | NJ DIVISION OF CONSUMER AFFAIRS - MEDICAL LICENSE |
Other names 2
- Mitchel Ashkanazy
- Mitchel Ashkanazy MD
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mashkanazy@optonline.net |
National Provider Directory
National Provider Directory- Tax ID family
- Mitchel Ashkanazy
- Part of
- Mitchel Ashkanazy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Kinnelon, NJ
- NPI 1235304700
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.
-
- Eyewear Supplier
- Kinnelon, NJ
- NPI 1235304700
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.