Individual provider Active NPI

Marlene N Beshai, O.D.

  • Optometrist
  • Watchung, NJ
National Provider Identifier
1134550247
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00650100 Issued in NJ
Practice address
1501 US Highway 22
Watchung, NJ 07069-6507
Phone
(908) 756-1325
Fax
(908) 756-1349
NPI assigned
Nov 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00650100 NJ Primary

Addresses

Primary practice location

1501 US Highway 22
Watchung, NJ 07069-6507

Mailing address

1501 US Highway 22
Watchung, NJ 07069-6507
Phone (908) 756-1325

Other practice location 1

295A Ferry St
Newark, NJ 07105-3443
Phone (973) 589-8008

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
I20150407001187 NJ Practitioner - Optometry 9335467133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 US Hwy 22
Watchung, NJ 07069-6507
Phone (908) 756-1325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00650100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Eyecare LLC Optometrist CurrentSince Nov 12, 2024 Accepting new patients
Wise Hearing New Jersey Past Accepting new patients
Hudson Eyecare Associates PA Optometrist Past Accepting new patients
Wise Hearing New Jersey LLC Past Accepting new patients

Locations

1501 US Highway 22
Watchung, NJ 07069
Phone (908) 756-1258

Organizations & group practices 5

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": "1385683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1134550247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 US HIGHWAY 22",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696507",
            "telephone_number": "908-756-1325",
            "fax_number": "908-756-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 US HIGHWAY 22",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696507",
            "telephone_number": "908-756-1325",
            "fax_number": "908-756-1349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295A Ferry St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071053443",
            "country_code": "US",
            "telephone_number": "973-589-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESHAI",
        "first_name": "MARLENE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-29",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00650100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

Verify at the official NPI Registry.