Active NPI
Garden State Eye Center, P.a.
- Ophthalmology Physician
- Lakewood, NJ
National Provider Identifier
1053445197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- GARDEN STATE EYE CENTER, P.A.
- Practice address
- 1195 Highway 70
Lakewood, NJ 08701-5946 - Phone
- (732) 363-2244
- Fax
- (732) 363-1825
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moshe M Rothkopf, MD
- Title
- President Owner
- Phone
- (732) 363-2244
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1195 Highway 70
Lakewood, NJ 08701-5946
Mailing address
1195 Highway 70
Lakewood, NJ 08701-5946
Phone (732) 363-2244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1051964 | Other | AETNA | |
| 3421708 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Lakewood, NJ
- NPI 1720049588
-
- Ophthalmology Physician
- Paterson, NJ
- NPI 1780807206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1053445197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1195 HIGHWAY 70",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015946",
"telephone_number": "732-363-2244",
"fax_number": "732-363-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1195 HIGHWAY 70",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015946",
"telephone_number": "732-363-2244",
"fax_number": "732-363-1825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE EYE CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "ROTHKOPF",
"authorized_official_first_name": "MOSHE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "732-363-2244",
"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": "AETNA",
"identifier": "1051964",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3421708",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.