Jersey Shore Ophthalmology Retina Consultants, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA09591700 Issued in NJ

Legal business name

JERSEY SHORE OPHTHALMOLOGY RETINA CONSULTANTS, LLC

Doing business as

Jersey Shore Retina Consultants

Practice address

241 Monmouth Rd
Suite 102
West Long Branch, NJ 07764-1177

Phone

(732) 738-4627

Fax

(888) 604-9076

NPI assigned

Jun 23, 2016

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Isaac Ezon, MDNPI 1801057781

Title

President

Phone

(732) 241-6666

Specialties & licenses 1

Addresses

Other names 1

• Jersey Shore Retina Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: iezon@jsrc.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Isaac Ezon, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • West Long Branch, NJ
  • NPI 1801057781
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1053762724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 VAN NOSTRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314306",
            "telephone_number": "732-241-6666",
            "fax_number": "888-604-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MONMOUTH RD",
            "address_2": "SUITE 102",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641177",
            "telephone_number": "732-738-4627",
            "fax_number": "888-604-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE OPHTHALMOLOGY RETINA CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "EZON",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-241-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09591700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore Retina Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Dean Isaacson, D.D.S.
• Isaacsonorthodontics,L.L.P.
• Nicole M. Jackson, MA, LPC, LCADC
• Sharon Jackson, MD
• Punit Rajnikant Jariwala, M.D.
• Joanne Jodry, LPC, LCADC
• JSR Medical Services LLC
• Dylan Jue
• Keith Kanik, M.D.
• Gary V Karakashian, M.D.

• Ophthalmology Physician in West Long Branch, NJ
• Providers in West Long Branch, 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 Jun 23, 2016; 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.

Verify at the official NPI Registry.