Individual provider Active NPI

Heema Desai Patel, O.D

  • Optometrist
  • Ledgewood, NJ
National Provider Identifier
1144604745
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008286 Issued in NY
Practice address
410 Route 10
Suite 202
Ledgewood, NJ 07852
Phone
(973) 584-2020
NPI assigned
Jul 13, 2015
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008286 NY Primary

Addresses

Primary practice location

410 Route 10
Suite 202
Ledgewood, NJ 07852

Mailing address

107 Springhill Dr
Morris Plains, NJ 07950-1168
Phone (267) 882-8099

Other practice location 1

1650 Selwyn Ave
Suite 1C
Bronx, NY 10457-7626
Phone (267) 882-8099

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
I20161230000144 NJ Practitioner - Optometry 7517248792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare Professionals, LLCGroup PAC ID 8426318585, 3 clinicians

Practice addresses (Care Compare)

410 State Route 10
BLDG 202
Ledgewood, NJ 07852-9600
Phone (973) 584-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008286NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare Professionals LLC Optometrist CurrentSince Jul 2, 2018 Accepting new patients
NJ Eye and Ear LLC CurrentSince Jan 1, 2018 Accepting new patients
Advanced Eyecare Associates, LLC Optometrist CurrentSince Jul 2, 2018 Accepting new patients

Locations

1016 Main Ave
Clifton, NJ 07011
Phone (973) 546-5700

1016 Main Ave
Unit 1
Clifton, NJ 07011
Phone (973) 546-5700

23 W Palisade Ave
Englewood, NJ 07631
Phone (201) 408-4441

245 Engle St
Englewood, NJ 07631
Phone (201) 568-0770

71 Grand Ave
Englewood, NJ 07631
Phone (201) 408-4441

410 State Route 10
Ste 202
Ledgewood, NJ 07852
Phone (973) 584-2020

66 Sunset Strip
Ste 107
Succasunna, NJ 07876
Phone (201) 584-4451

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, 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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1144604745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SPRINGHILL DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501168",
            "telephone_number": "267-882-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROUTE 10",
            "address_2": "SUITE 202",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "07852",
            "telephone_number": "973-584-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Selwyn Ave",
            "address_2": "Suite 1C",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577626",
            "country_code": "US",
            "telephone_number": "267-882-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HEEMA",
        "middle_name": "DESAI",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

Verify at the official NPI Registry.