Pediatric Ophthalmology Associates, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PEDIATRIC OPHTHALMOLOGY ASSOCIATES, PA

Practice address

218 Ridgedale Ave
Suite 100
Cedar Knolls, NJ 07927-2109

Phone

(973) 326-8895

Fax

(973) 326-6805

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Jay M. Bernstein, M.D.

Title

President

Phone

(973) 326-8895

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1114972148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 RIDGEDALE AVE",
            "address_2": "SUITE 100",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272109",
            "telephone_number": "973-326-8895",
            "fax_number": "973-326-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RIDGEDALE AVE",
            "address_2": "SUITE 100",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272109",
            "telephone_number": "973-326-8895",
            "fax_number": "973-326-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-326-8895",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8938202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhumi A Patel, PA-C
• Prem Patel, M.D.
• Rajni Patel, D.P.T
• Roshni Dinesh Patel, D.O.
• Paul M Siegel, DMD, PA
• Pei Pei, APN
• Perfect Portions LLC
• Adil Pervaiz, MD
• Caeley Ann Philhower
• Meghan Kathleen Pillai, MD

• Medical Specialty Clinic/Center in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.