Individual provider Active NPI

Adrian William Jachens, MD

  • Ophthalmology Physician
  • Wayne, NJ
National Provider Identifier
1063673408
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA09305700 Issued in NJ
Practice address
1777 Hamburg Tpke Ste 101
Wayne, NJ 07470-5243
Phone
(973) 295-5200
Fax
(973) 295-5300
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P2684 TX
Ophthalmology Physician 207W00000X 25MA09305700 NJ Primary

Addresses

Primary practice location

1777 Hamburg Tpke Ste 101
Wayne, NJ 07470-5243

Mailing address

1777 Hamburg Tpke Ste 101
Wayne, NJ 07470-5243
Phone (973) 295-5200

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
I20131010000761 NJ Practitioner - Ophthalmology 1254597743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adrian W Jachens MD LLCGroup PAC ID 6406252600, 3 clinicians

Practice addresses (Care Compare)

1777 Hamburg Tpke
Wayne, NJ 07470-5243
Phone (973) 295-5200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery361

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2684TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian W Jachens MD LLC Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients
Eyecare 20/20- West Orange PA Ophthalmology Past Accepting new patients
Eye Centers of America, LLC Ophthalmology PastSince Apr 9, 2018 Accepting new patients

Locations

1777 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 295-5200

Organizations & group practices 3

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1063673408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE STE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705243",
            "telephone_number": "973-295-5200",
            "fax_number": "973-295-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE STE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705243",
            "telephone_number": "973-295-5200",
            "fax_number": "973-295-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACHENS",
        "first_name": "ADRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P2684",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09305700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.