Organization Active NPI

Retinal and Ophthalmic Consultants, PC

  • Ophthalmology Physician
  • Vineland, NJ
National Provider Identifier
1154529329
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINAL AND OPHTHALMIC CONSULTANTS, PC
Practice address
2466 E Chestnut Ave
Vineland, NJ 08361-8486
Phone
(856) 507-0020
Fax
(856) 507-0040
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Scott G Foxman, MD
Title
Owner
Phone
(586) 507-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X NJ Primary

Addresses

Primary practice location

2466 E Chestnut Ave
Vineland, NJ 08361-8486

Mailing address

2466 E Chestnut Ave
Vineland, NJ 08361-8486
Phone (856) 507-0020

Other identifiers 1

IdentifierTypeStateIssuer
7296908MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Retinal and Ophthalmic Consultants PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1154529329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618486",
            "telephone_number": "856-507-0020",
            "fax_number": "856-507-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618486",
            "telephone_number": "856-507-0020",
            "fax_number": "856-507-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINAL AND OPHTHALMIC CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "FOXMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-507-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7296908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.