Active NPI
Sean Patrick Phibbs, OD
- Optometrist
- Sea Girt, NJ
National Provider Identifier
1144223579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NJ4756
- Practice address
- 701 Sea Girt Ave
Sea Girt, NJ 08750-2803 - Phone
- (732) 974-3937
- Fax
- (732) 974-6899
- NPI assigned
- May 31, 2005
- Last updated
- Mar 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NJ4756 | NJ | Primary |
Addresses
Primary practice location
701 Sea Girt Ave
Sea Girt, NJ 08750-2803
Mailing address
701 Sea Girt Ave
Sea Girt, NJ 08750-2803
Phone (732) 974-3937
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Sea Girt Ave
Sea Girt, NJ 08750-2803
Merit-based Incentive Payment System (MIPS)
- Final score
- 13.33 of 100
- Quality
- 26.67
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ4756 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Eyes Inc | Optometrist | Current | Accepting new patients |
Locations
701 Sea Girt Ave
Sea Girt, NJ 08750
Phone (732) 974-3937
Organizations & group practices 1
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": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1144223579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SEA GIRT AVE",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087502803",
"telephone_number": "732-974-3937",
"fax_number": "732-974-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SEA GIRT AVE",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087502803",
"telephone_number": "732-974-3937",
"fax_number": "732-974-6899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIBBS",
"first_name": "SEAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "NJ4756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sea Girt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.