Individual provider Active NPI

Maya Brady, O.D.

  • Optometrist
  • Spring Lake, NJ
National Provider Identifier
1104109263
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00664500 Issued in NJ
Practice address
2018 Highway 71 Ste 1
Spring Lake, NJ 07762-2296
Phone
(732) 359-8080
Fax
(732) 359-8383
NPI assigned
Sep 26, 2011
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00664500 NJ Primary

Addresses

Primary practice location

2018 Highway 71 Ste 1
Spring Lake, NJ 07762-2296

Mailing address

722 Wall Rd
Spring Lake, NJ 07762-2237
Phone (732) 735-0377

Other practice location 1

530 Lakehurst Rd Ste 206
Toms River, NJ 08755-8063
Phone (732) 341-4733

Other names 1

  • Dr. Maya Ferraro Former name

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
I20180713001380 NJ Practitioner - Optometry 0143576629

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Kennedy Dr
Suite 400a
Hauppauge, NY 11788-3752

1933 Route 35
Wall Township, NJ 07719

66 W Gilbert St
Tinton Falls, NJ 07701-4948

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
86.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00664500NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Vision LLC Optometrist Current Accepting new patients
Shore Eye Associates PA CurrentSince May 1, 2021 Accepting new patients
Shore Eye Associates PA CurrentSince May 1, 2021 Accepting new patients
Shore Eye Associates PA Optometrist PastSince Jun 22, 2021 Accepting new patients

Locations

2018 Highway 71
Ste 1
Spring Lake, NJ 07762
Phone (732) 359-8080

530 Lakehurst Rd
Ste 206
Toms River, NJ 08755
Phone (732) 341-4733

1933 State Route 35
Ste 120
Wall Township, NJ 07719
Phone (732) 449-5902

Organizations & group practices 4

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": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1104109263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 WALL RD",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622237",
            "telephone_number": "732-735-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 HIGHWAY 71 STE 1",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622296",
            "telephone_number": "732-359-8080",
            "fax_number": "732-359-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Lakehurst Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087558063",
            "country_code": "US",
            "telephone_number": "732-341-4733",
            "fax_number": "732-341-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "MAYA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00664500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "FERRARO",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Lake, NJ

Sources for this page

Verify at the official NPI Registry.