Individual provider Active NPI

Ronald W Kristan, MD

  • Ophthalmology Physician
  • Eatontown, NJ
National Provider Identifier
1114928843
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA04620000 Issued in NJ
Practice address
300 Highway 35 Ste 200
Eatontown, NJ 07724-2216
Phone
(732) 222-7373
Fax
(732) 571-9212
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 25MA04620000 NJ
Ophthalmology Physician 207W00000X 25MA04620000 NJ Primary

Addresses

Primary practice location

300 Highway 35 Ste 200
Eatontown, NJ 07724-2216

Mailing address

300 Highway 35 Ste 200
Eatontown, NJ 07724-2216
Phone (732) 222-7373

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
I20110124000216 NJ Practitioner - Ophthalmology 9537118427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University Medical College - NLG, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Eye Physicians, PAGroup PAC ID 5193774081, 12 clinicians

Practice addresses (Care Compare)

300 Hwy 35
Eatontown, NJ 07724-2216
Phone (732) 222-7373

Merit-based Incentive Payment System (MIPS)

Final score
82.01 of 100Reported as group
Quality
95.44
Promoting interoperability
100
Improvement activities
40
Cost
44.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Eye Physicians, PA Ophthalmology CurrentSince Jan 1, 1989 Accepting new patients
James Marc Schlesinger MD PC Past Accepting new patients
Atlantic Surgery Center,LLC Past Accepting new patients

Locations

300 Highway 35
Eatontown, NJ 07724
Phone (732) 219-9220

300 Highway 35
Ste 300
Eatontown, NJ 07724
Phone (732) 222-7373

300 Highway 35
Ste 200
Eatontown, NJ 07724
Phone (732) 222-7373

300 Highway 35
Ste 250
Eatontown, NJ 07724
Phone (732) 222-7373

100 Commons Way
Ste 230
Holmdel, NJ 07733
Phone (732) 222-7373

180 White Rd
Ste 202
Little Silver, NJ 07739
Phone (732) 219-9220

279 3rd Ave
Ste 204
Long Branch, NJ 07740
Phone (732) 222-7373

1963 State Route 34
Ste 101
Wall Township, NJ 07719
Phone (732) 222-7373

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1114928843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGHWAY 35 STE 200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-222-7373",
            "fax_number": "732-571-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHWAY 35 STE 200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-222-7373",
            "fax_number": "732-571-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTAN",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA04620000",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04620000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.