NPIMap

Organization Active NPI

Advanced Opthalmology Center PA

  • Ophthalmology Physician
  • Edison, NJ
National Provider Identifier
1164596722
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ADVANCED OPTHALMOLOGY CENTER PA
Practice address
1812 Oak Tree Rd
Edison, NJ 08820
Phone
(732) 548-0700
Fax
(732) 494-5059
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Dr. Barry M Schanzer, MDNPI 1053456509
Title
MD President
Phone
(732) 548-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1812 Oak Tree Rd
Edison, NJ 08820

Mailing address

1812 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-0700

Other names 1

  • Middlesex Opthalmology Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050317000577 NJ Part B Supplier - Clinic/Group Practice 0143275651 Receives reassigned benefits from 2 practitioners
Practice locations: Edison, NJ
O20100930003265 NJ DME Supplier - Physician - Ophthalmology 0143275651 Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

1812 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-0070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1164596722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-548-0700",
            "fax_number": "732-494-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-548-0700",
            "fax_number": "732-494-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OPTHALMOLOGY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SCHANZER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "732-548-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlesex Opthalmology",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Middlesex Opthalmology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.