Individual provider Active NPI

Matthew Lauletti, O.D.

  • Optometrist
  • East Brunswick, NJ
National Provider Identifier
1063862910
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00667200 Issued in NJ
Practice address
326 Route 18
East Brunswick, NJ 08816-2109
Phone
(732) 238-9200
NPI assigned
Jun 21, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00667200 NJ Primary

Addresses

Primary practice location

326 Route 18
East Brunswick, NJ 08816-2109

Mailing address

326 Route 18
East Brunswick, NJ 08816-2109
Phone (732) 238-9200

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925000810 NJ Practitioner - Optometry 1456602853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ehg NJ Service LLCGroup PAC ID 9335556315, 19 clinicians

Practice addresses (Care Compare)

360 Route 46
Totowa, NJ 07512-1841
Phone (973) 785-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ehg NJ Service LLC Optometrist CurrentSince Jan 28, 2021 Accepting new patients
Main Street Clinic, LLC Past Accepting new patients

Locations

326 State Route 18
East Brunswick, NJ 08816
Phone (732) 238-9200

255 Highway 35
Eatontown, NJ 07724
Phone (732) 389-6512

670 US Highway 1 N
Iselin, NJ 08830
Phone (732) 636-1400

179 US Highway 1
Metuchen, NJ 08840

179 US Highway 1
#K
Metuchen, NJ 08840

341 E State Rt 4
Paramus, NJ 07652
Phone (201) 489-4500

275 US Highway 22
Springfield, NJ 07081
Phone (973) 376-7900

1278 Hooper Ave
Toms River, NJ 08753
Phone (732) 505-0533

360 US Highway 46
Totowa, NJ 07512
Phone (973) 785-0900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1063862910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ROUTE 18",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162109",
            "telephone_number": "732-238-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ROUTE 18",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162109",
            "telephone_number": "732-238-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAULETTI",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00667200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.