Katerina Bubnovsky, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00619300 Issued in NJ

Practice address

337 Applegarth Rd
Monroe Township, NJ 08831-3721

Phone

(609) 883-4407

NPI assigned

Jul 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monroe Vision Associates LLCGroup PAC ID 1153301940, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Monroe Vision Associates LLC

  • Optometrist
  • Monroe TWP, NJ
  • NPI 1851559850
  Medicare reassignment Care Compare group NPD
• Herbert J Bell P a

  • Optometrist
  • Trenton, NJ
  • NPI 1700872702
  Medicare reassignment NPD
• Monroe Vision Associates LLC

  • Optometrist
  • Monroe Tup, NJ
  • NPI 1043249337
  NPD

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1144459165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 APPLEGARTH RD",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313721",
            "telephone_number": "609-555-2666",
            "fax_number": "609-655-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 APPLEGARTH RD",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313721",
            "telephone_number": "609-883-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBNOVSKY",
        "first_name": "KATERINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-12",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00619300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Rosaria Braswell, MS OTR
• Samantha Ann Brocato, FNP-BC
• Bethany Rosemary Brodock
• Ellen Brody, LAC
• Bruce M Kern DMD Dentist PC
• Colleen Calvert
• Lydia Marie Campanella Morrow, PT
• Carna Health Care
• Kristine Casella, MOT, OTR/L
• Central Jersey Dental

• Optometrist in Monroe Township, NJ
• Providers in Monroe Township, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.

Verify at the official NPI Registry.